| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $3,548.13 | $4,897.79 | |
BCBS
| Facility | $43.65 | $43.65 | $257.04 | |
Health Alliance Plan
| Facility | $288.40 | $2,187.76 | $6,918.31 | |
United
| Facility | $302.00 | $1,258.93 | $2,041.74 |