| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $169.82 | $169.82 | $275.42 | |
Health Alliance Plan
| Facility | $229.09 | $2,884.03 | $4,897.79 | |
United
| Facility | $2,511.89 | $5,011.87 | $9,332.54 |