| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $4,897.79 | $5,754.40 | |
BCBS
| Facility | $239.88 | $239.88 | $295.12 | |
Health Alliance Plan
| Facility | $316.23 | $4,466.84 | $5,754.40 | |
United
| Facility | $467.74 | $1,445.44 | $19,952.62 |