| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $25.70 | $95.50 | $151.36 | |
Health Alliance Plan
| Facility | $288.40 | $831.76 | $4,897.79 | |
United
| Facility | $588.84 | $3,019.95 | $6,025.60 |