| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $4,897.79 | $9,772.37 | |
BCBS
| Facility | $60.26 | $218.78 | $354.81 | |
Health Alliance Plan
| Facility | $229.09 | $4,677.35 | $9,772.37 | |
United
| Facility | $630.96 | $4,466.84 | $8,709.64 |