| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.11 | $4,454.02 | $13,152.71 | |
BCBS
| Facility | $179.77 | $358.16 | $652.33 | |
Health Alliance Plan
| Facility | $429.56 | $4,933.00 | $17,337.05 | |
United
| Facility | $464.00 | $1,844.00 | $22,993.00 |