| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,862.09 | $4,897.79 | |
BCBS
| Facility | $109.65 | $537.03 | $537.03 | |
Health Alliance Plan
| Facility | $537.03 | $1,479.11 | $4,897.79 | |
United
| Facility | $2,398.83 | $4,786.30 | $8,709.64 |