| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $45.71 | $229.09 | $229.09 | |
Health Alliance Plan
| Facility | $162.18 | $1,380.38 | $4,897.79 | |
United
| Facility | $588.84 | $4,677.35 | $11,481.54 |