| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.11 | $4,933.00 | $16,702.30 | |
BCBS
| Facility | $180.57 | $359.76 | $655.24 | |
Health Alliance Plan
| Facility | $429.56 | $2,056.00 | $15,907.14 | |
United
| Facility | $464.00 | $1,844.00 | $22,993.00 |