| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $4,073.80 | $6,456.54 | |
BCBS
| Facility | $616.60 | $616.60 | $933.25 | |
Health Alliance Plan
| Facility | $512.86 | $4,073.80 | $6,456.54 | |
United
| Facility | $2,238.72 | $4,786.30 | $8,128.31 |