| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $4,897.79 | $61,659.50 | |
BCBS
| Facility | $588.84 | $588.84 | $588.84 | |
Health Alliance Plan
| Facility | $562.34 | $4,897.79 | $56,234.13 | |
United
| Facility | $10,471.29 | $29,512.09 | $70,794.58 |