| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $363.08 | $575.44 | $575.44 | |
Health Alliance Plan
| Facility | $512.86 | $2,041.74 | $4,897.79 | |
United
| Facility | $2,511.89 | $5,248.07 | $12,302.69 |