| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $208.93 | $275.42 | $275.42 | |
Health Alliance Plan
| Facility | $223.87 | $2,041.74 | $4,897.79 | |
United
| Facility | $3,235.94 | $6,606.93 | $8,912.51 |