| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $489.78 | $4,897.79 | |
BCBS
| Facility | $537.03 | $537.03 | $812.83 | |
Health Alliance Plan
| Facility | $295.12 | $489.78 | $4,897.79 | |
United
| Facility | $186.21 | $794.33 | $1,737.80 |