| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $4,897.79 | $12,302.69 | |
BCBS
| Facility | $102.33 | $120.23 | $602.56 | |
Health Alliance Plan
| Facility | $436.52 | $4,073.80 | $12,302.69 | |
United
| Facility | $4,265.80 | $7,585.78 | $13,803.84 |