| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $79.43 | $79.43 | $309.03 | |
Health Alliance Plan
| Facility | $316.23 | $812.83 | $6,918.31 | |
United
| Facility | $467.74 | $1,348.96 | $2,454.71 |