| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $4,897.79 | $10,471.29 | |
BCBS
| Facility | $194.98 | $194.98 | $977.24 | |
Health Alliance Plan
| Facility | $676.08 | $1,949.84 | $10,471.29 | |
United
| Facility | $794.33 | $5,754.40 | $12,882.50 |