| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $38.02 | $38.02 | $190.55 | |
Health Alliance Plan
| Facility | $275.42 | $2,884.03 | $4,897.79 | |
United
| Facility | $1,445.44 | $3,235.94 | $6,309.57 |