| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.96 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $306.33 | $610.33 | $1,111.60 | |
Health Alliance Plan
| Facility | $642.02 | $4,933.00 | $6,853.00 | |
United
| Facility | $5,000.00 | $11,152.00 | $25,000.00 |