| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $190.55 | $691.83 | $691.83 | |
Health Alliance Plan
| Facility | $776.25 | $2,089.30 | $6,918.31 | |
United
| Facility | $2,570.40 | $5,623.41 | $9,120.11 |