| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $89.13 | $323.59 | $323.59 | |
Health Alliance Plan
| Facility | $436.52 | $1,288.25 | $4,897.79 | |
United
| Facility | $630.96 | $4,897.79 | $12,022.64 |