| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $245.47 | $245.47 | $245.47 | |
Health Alliance Plan
| Facility | $363.08 | $1,071.52 | $4,897.79 | |
United
| Facility | $588.84 | $3,019.95 | $6,025.60 |