| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.34 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $60.26 | $60.26 | $186.21 | |
Health Alliance Plan
| Facility | $562.34 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,454.71 | $5,754.40 | $9,120.11 |