| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $565.86 | $2,877.00 | $6,906.00 | |
BCBS
| Facility | $670.28 | $670.28 | $670.28 | |
Health Alliance Plan
| Facility | $462.73 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |