| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $4,897.79 | $7,762.47 | |
BCBS
| Facility | $77.62 | $77.62 | $288.40 | |
Health Alliance Plan
| Facility | $389.05 | $4,897.79 | $7,762.47 | |
United
| Facility | $630.96 | $4,466.84 | $8,709.64 |