| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $4,570.88 | $6,309.57 | |
BCBS
| Facility | $588.84 | $588.84 | $588.84 | |
Health Alliance Plan
| Facility | $660.69 | $2,041.74 | $5,888.44 | |
United
| Facility | $630.96 | $4,365.16 | $7,762.47 |