| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $758.58 | $758.58 | $758.58 | |
Health Alliance Plan
| Facility | $776.25 | $4,073.80 | $4,897.79 | |
United
| Facility | $1,445.44 | $4,168.69 | $7,244.36 |