| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $72.44 | $426.58 | $426.58 | |
Health Alliance Plan
| Facility | $316.23 | $933.25 | $4,897.79 | |
United
| Facility | $588.84 | $4,677.35 | $11,481.54 |