| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $4,897.79 | $7,585.78 | |
BCBS
| Facility | $144.54 | $144.54 | $144.54 | |
Health Alliance Plan
| Facility | $501.19 | $4,897.79 | $7,585.78 | |
United
| Facility | $630.96 | $4,365.16 | $7,762.47 |