| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $165.96 | $512.86 | $831.76 | |
Health Alliance Plan
| Facility | $549.54 | $2,754.23 | $4,897.79 | |
United
| Facility | $630.96 | $4,897.79 | $12,022.64 |