| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $281.84 | $676.08 | $676.08 | |
Health Alliance Plan
| Facility | $398.11 | $1,288.25 | $6,918.31 | |
United
| Facility | $2,398.83 | $4,786.30 | $8,709.64 |