| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $4,073.80 | $15,488.17 | |
BCBS
| Facility | $346.74 | $346.74 | $346.74 | |
Health Alliance Plan
| Facility | $316.23 | $2,884.03 | $6,918.31 | |
United
| Facility | $3,311.31 | $6,918.31 | $16,595.87 |