| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $2,884.03 | $8,317.64 | |
BCBS
| Facility | $426.58 | $630.96 | $630.96 | |
Health Alliance Plan
| Facility | $446.68 | $2,884.03 | $8,317.64 | |
United
| Facility | $2,398.83 | $4,786.30 | $8,709.64 |