| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $4,570.88 | $16,595.87 | |
BCBS
| Facility | $181.97 | $380.19 | $691.83 | |
Health Alliance Plan
| Facility | $467.74 | $2,041.74 | $20,417.38 | |
United
| Facility | $467.74 | $1,698.24 | $21,379.62 |