| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $6,918.31 | $52,480.75 | |
BCBS
| Facility | $426.58 | $426.58 | $676.08 | |
Health Alliance Plan
| Facility | $645.65 | $4,897.79 | $40,738.03 | |
United
| Facility | $6,456.54 | $11,220.18 | $13,803.84 |