| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $4,073.80 | $4,897.79 | |
BCBS
| Facility | $549.54 | $812.83 | $812.83 | |
Health Alliance Plan
| Facility | $467.74 | $3,890.45 | $5,754.40 | |
United
| Facility | $2,511.89 | $5,011.87 | $9,332.54 |