| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $4,073.80 | $12,302.69 | |
BCBS
| Facility | $323.59 | $776.25 | $776.25 | |
Health Alliance Plan
| Facility | $446.68 | $1,412.54 | $6,918.31 | |
United
| Facility | $630.96 | $4,897.79 | $12,022.64 |