| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $3,890.45 | $4,897.79 | |
BCBS
| Facility | $501.19 | $501.19 | $501.19 | |
Health Alliance Plan
| Facility | $467.74 | $1,288.25 | $4,897.79 | |
United
| Facility | $1,445.44 | $3,235.94 | $6,309.57 |