| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $5,888.44 | $12,882.50 | |
BCBS
| Facility | $229.09 | $229.09 | $676.08 | |
Health Alliance Plan
| Facility | $933.25 | $4,897.79 | $12,589.25 | |
United
| Facility | $4,570.88 | $9,120.11 | $15,848.93 |