| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $223.87 | $223.87 | $223.87 | |
Health Alliance Plan
| Facility | $257.04 | $691.83 | $4,897.79 | |
United
| Facility | $891.25 | $5,128.61 | $9,772.37 |