| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $4,073.80 | $5,754.40 | |
BCBS
| Facility | $162.18 | $954.99 | $954.99 | |
Health Alliance Plan
| Facility | $645.65 | $3,235.94 | $5,754.40 | |
United
| Facility | $794.33 | $5,754.40 | $9,332.54 |