| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $4,897.79 | $13,803.84 | |
BCBS
| Facility | $104.71 | $123.03 | $616.60 | |
Health Alliance Plan
| Facility | $549.54 | $3,311.31 | $10,715.19 | |
United
| Facility | $2,511.89 | $5,248.07 | $12,302.69 |