| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $6,918.31 | $12,589.25 | |
BCBS
| Facility | $147.91 | $147.91 | $741.31 | |
Health Alliance Plan
| Facility | $794.33 | $4,897.79 | $12,589.25 | |
United
| Facility | $7,079.46 | $10,964.78 | $25,703.96 |