| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $43.65 | $51.29 | $158.49 | |
Health Alliance Plan
| Facility | $407.38 | $1,230.27 | $4,897.79 | |
United
| Facility | $588.84 | $2,630.27 | $5,623.41 |