| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.73 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $362.76 | $722.75 | $1,301.61 | |
Health Alliance Plan
| Facility | $630.55 | $4,933.00 | $6,853.00 | |
United
| Facility | $5,531.37 | $11,152.00 | $22,993.00 |