| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.54 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $567.66 | $662.63 | $902.69 | |
Health Alliance Plan
| Facility | $283.73 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |