| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $3,388.44 | $4,897.79 | |
BCBS
| Facility | $616.60 | $616.60 | $616.60 | |
Health Alliance Plan
| Facility | $354.81 | $1,445.44 | $4,897.79 | |
United
| Facility | $3,311.31 | $6,606.93 | $14,454.40 |