| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.88 | $577.34 | $4,933.00 | |
BCBS
| Facility | $588.37 | $685.76 | $929.10 | |
Health Alliance Plan
| Facility | $541.14 | $2,877.00 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,594.00 |