| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $4,073.80 | $5,623.41 | |
BCBS
| Facility | $165.96 | $165.96 | $512.86 | |
Health Alliance Plan
| Facility | $707.95 | $4,073.80 | $5,754.40 | |
United
| Facility | $2,570.40 | $5,623.41 | $9,120.11 |