| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $4,897.79 | $8,317.64 | |
BCBS
| Facility | $165.96 | $165.96 | $977.24 | |
Health Alliance Plan
| Facility | $870.96 | $4,073.80 | $6,918.31 | |
United
| Facility | $4,265.80 | $7,413.10 | $14,454.40 |