| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $4,897.79 | $16,218.10 | |
BCBS
| Facility | $77.62 | $389.05 | $389.05 | |
Health Alliance Plan
| Facility | $346.74 | $4,897.79 | $10,471.29 | |
United
| Facility | $2,511.89 | $5,011.87 | $9,772.37 |