| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $0.02 | $0.02 | $0.05 | |
BCBS
| Professional | $1,318.26 | $7,762.47 | $7,762.47 | |
Health Alliance Plan
| Facility | $4,897.79 | $4,897.79 | $6,918.31 | |
Health Alliance Plan
| Professional | $7,079.46 | $7,244.36 | $8,912.51 | |
United
| Facility | $467.74 | $1,698.24 | $28,183.83 |