| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $323.59 | $323.59 | $524.81 | |
Health Alliance Plan
| Facility | $371.54 | $1,000.00 | $4,897.79 | |
United
| Facility | $794.33 | $7,079.46 | $10,715.19 |