| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $181.97 | $181.97 | $275.42 | |
Health Alliance Plan
| Facility | $616.60 | $1,698.24 | $4,897.79 | |
United
| Facility | $1,479.11 | $3,162.28 | $6,165.95 |