| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $2,818.38 | $6,760.83 | |
BCBS
| Facility | $138.04 | $138.04 | $229.09 | |
Health Alliance Plan
| Facility | $229.09 | $2,041.74 | $6,760.83 | |
United
| Facility | $2,511.89 | $5,011.87 | $8,912.51 |