| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $4,897.79 | $8,128.31 | |
BCBS
| Facility | $131.83 | $489.78 | $776.25 | |
Health Alliance Plan
| Facility | $660.69 | $4,897.79 | $8,128.31 | |
United
| Facility | $4,570.88 | $9,120.11 | $15,848.93 |