| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $4,897.79 | $5,011.87 | |
BCBS
| Facility | $158.49 | $158.49 | $158.49 | |
Health Alliance Plan
| Facility | $660.69 | $4,073.80 | $5,011.87 | |
United
| Facility | $2,570.40 | $5,623.41 | $9,120.11 |