| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $4,897.79 | $21,877.62 | |
BCBS
| Facility | $575.44 | $575.44 | $575.44 | |
Health Alliance Plan
| Facility | $537.03 | $4,073.80 | $21,877.62 | |
United
| Facility | $10,471.29 | $24,547.09 | $58,884.37 |