| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $2,570.40 | $4,073.80 | |
BCBS
| Facility | $208.93 | $208.93 | $208.93 | |
Health Alliance Plan
| Facility | $316.23 | $1,995.26 | $4,786.30 | |
United
| Facility | $588.84 | $3,019.95 | $6,025.60 |