| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $32.36 | $32.36 | $162.18 | |
Health Alliance Plan
| Facility | $229.09 | $2,041.74 | $4,897.79 | |
United
| Facility | $691.83 | $1,778.28 | $4,073.80 |