| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $2,884.03 | $5,754.40 | |
BCBS
| Facility | $239.88 | $239.88 | $575.44 | |
Health Alliance Plan
| Facility | $398.11 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,238.72 | $4,786.30 | $8,317.64 |