| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $35.48 | $208.93 | $208.93 | |
Health Alliance Plan
| Facility | $151.36 | $407.38 | $4,897.79 | |
United
| Facility | $467.74 | $3,548.13 | $6,025.60 |