| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $4,677.35 | $7,413.10 | |
BCBS
| Facility | $114.82 | $114.82 | $114.82 | |
Health Alliance Plan
| Facility | $407.38 | $3,890.45 | $7,413.10 | |
United
| Facility | $323.59 | $6,309.57 | $9,772.37 |