| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $380.19 | $602.56 | $602.56 | |
Health Alliance Plan
| Facility | $501.19 | $1,479.11 | $4,897.79 | |
United
| Facility | $588.84 | $2,884.03 | $5,623.41 |