| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $1,995.26 | $4,897.79 | |
BCBS
| Facility | $162.18 | $162.18 | $162.18 | |
Health Alliance Plan
| Facility | $295.12 | $1,995.26 | $4,897.79 | |
United
| Facility | $1,071.52 | $3,019.95 | $6,025.60 |