| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $645.65 | $645.65 | $645.65 | |
Health Alliance Plan
| Facility | $4,897.79 | $6,309.57 | $16,982.44 | |
United
| Facility | $5,011.87 | $10,000.00 | $21,379.62 |