| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $4,073.80 | $7,079.46 | |
BCBS
| Facility | $323.59 | $323.59 | $323.59 | |
Health Alliance Plan
| Facility | $257.04 | $3,981.07 | $5,754.40 | |
United
| Facility | $794.33 | $5,754.40 | $12,302.69 |