| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $48.98 | $57.54 | $288.40 | |
Health Alliance Plan
| Facility | $707.95 | $2,089.30 | $4,897.79 | |
United
| Facility | $660.69 | $4,786.30 | $10,232.93 |