| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $165.96 | $165.96 | $165.96 | |
Health Alliance Plan
| Facility | $676.08 | $2,041.74 | $4,897.79 | |
United
| Facility | $2,398.83 | $4,786.30 | $8,709.64 |