| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $645.65 | $645.65 | $645.65 | |
Health Alliance Plan
| Facility | $912.01 | $4,073.80 | $5,754.40 | |
United
| Facility | $1,348.96 | $3,235.94 | $8,709.64 |