| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $89.13 | $794.33 | $794.33 | |
Health Alliance Plan
| Facility | $436.52 | $3,981.07 | $6,918.31 | |
United
| Facility | $1,348.96 | $3,235.94 | $8,709.64 |