| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $1,000.00 | $4,897.79 | |
BCBS
| Facility | $389.05 | $933.25 | $933.25 | |
Health Alliance Plan
| Facility | $549.54 | $1,659.59 | $4,897.79 | |
United
| Facility | $2,398.83 | $5,623.41 | $14,454.40 |