| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $275.42 | $275.42 | $275.42 | |
Health Alliance Plan
| Facility | $245.47 | $3,801.89 | $6,918.31 | |
United
| Facility | $302.00 | $1,258.93 | $2,041.74 |