| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $4,073.80 | $9,120.11 | |
BCBS
| Facility | $389.05 | $389.05 | $389.05 | |
Health Alliance Plan
| Facility | $1,202.26 | $4,073.80 | $6,918.31 | |
United
| Facility | $2,691.53 | $5,888.44 | $10,000.00 |