| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $1,479.11 | $4,897.79 | |
BCBS
| Facility | $229.09 | $229.09 | $229.09 | |
Health Alliance Plan
| Facility | $213.80 | $724.44 | $4,897.79 | |
United
| Facility | $549.54 | $1,778.28 | $4,073.80 |