| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.33 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $328.09 | $653.69 | $1,190.58 | |
Health Alliance Plan
| Facility | $687.60 | $4,933.00 | $6,853.00 | |
United
| Facility | $6,850.00 | $12,544.00 | $23,476.00 |