| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $4,897.79 | $10,715.19 | |
BCBS
| Facility | $114.82 | $114.82 | $676.08 | |
Health Alliance Plan
| Facility | $467.74 | $2,884.03 | $7,943.28 | |
United
| Facility | $630.96 | $4,365.16 | $7,762.47 |