| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $4,073.80 | $6,918.31 | |
BCBS
| Facility | $123.03 | $616.60 | $616.60 | |
Health Alliance Plan
| Facility | $537.03 | $4,073.80 | $6,165.95 | |
United
| Facility | $630.96 | $4,365.16 | $7,762.47 |