| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $218.78 | $346.74 | $346.74 | |
Health Alliance Plan
| Facility | $537.03 | $1,584.89 | $4,897.79 | |
United
| Facility | $588.84 | $2,884.03 | $5,623.41 |