| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $4,897.79 | $10,715.19 | |
BCBS
| Facility | $158.49 | $575.44 | $933.25 | |
Health Alliance Plan
| Facility | $776.25 | $4,897.79 | $9,772.37 | |
United
| Facility | $3,311.31 | $6,606.93 | $12,302.69 |