| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $125.89 | $125.89 | $125.89 | |
Health Alliance Plan
| Facility | $426.58 | $1,862.09 | $4,897.79 | |
United
| Facility | $794.33 | $7,943.28 | $18,620.87 |