| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $181.97 | $562.34 | $562.34 | |
Health Alliance Plan
| Facility | $660.69 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,398.83 | $5,623.41 | $14,454.40 |