| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $549.54 | $549.54 | $549.54 | |
Health Alliance Plan
| Facility | $524.81 | $4,073.80 | $4,897.79 | |
United
| Facility | $7,244.36 | $16,982.44 | $42,657.95 |