| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.94 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $150.75 | $300.35 | $540.91 | |
Health Alliance Plan
| Facility | $247.63 | $4,933.00 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,594.00 |