| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $251.19 | $251.19 | $398.11 | |
Health Alliance Plan
| Facility | $380.19 | $1,096.48 | $4,897.79 | |
United
| Facility | $588.84 | $3,162.28 | $8,709.64 |