| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.17 | $4,933.00 | $12,962.13 | |
BCBS
| Facility | $343.41 | $684.21 | $1,246.17 | |
Health Alliance Plan
| Facility | $718.68 | $4,933.00 | $9,594.00 | |
United
| Facility | $5,000.00 | $11,152.00 | $25,000.00 |