| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.08 | $4,897.79 | $11,748.98 | |
BCBS
| Facility | $588.84 | $588.84 | $870.96 | |
Health Alliance Plan
| Facility | $512.86 | $2,290.87 | $6,918.31 | |
United
| Facility | $1,698.24 | $3,890.45 | $6,025.60 |