| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $602.56 | $602.56 | $602.56 | |
Health Alliance Plan
| Facility | $512.86 | $2,884.03 | $4,897.79 | |
United
| Facility | $4,265.80 | $7,585.78 | $15,135.61 |