| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.24 | $4,897.79 | $15,488.17 | |
BCBS
| Facility | $213.80 | $213.80 | $676.08 | |
Health Alliance Plan
| Facility | $977.24 | $4,073.80 | $9,120.11 | |
United
| Facility | $2,951.21 | $6,309.57 | $10,471.29 |