| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $3,388.44 | $6,309.57 | |
BCBS
| Facility | $194.98 | $977.24 | $977.24 | |
Health Alliance Plan
| Facility | $831.76 | $3,090.30 | $5,754.40 | |
United
| Facility | $1,258.93 | $2,951.21 | $5,623.41 |