| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $14.79 | $53.70 | $87.10 | |
Health Alliance Plan
| Facility | $70.79 | $588.84 | $4,897.79 | |
United
| Facility | $588.84 | $2,398.83 | $5,623.41 |