| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $4,897.79 | $10,964.78 | |
BCBS
| Facility | $602.56 | $602.56 | $954.99 | |
Health Alliance Plan
| Facility | $851.14 | $2,041.74 | $6,918.31 | |
United
| Facility | $3,981.07 | $8,912.51 | $14,791.08 |