| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $426.58 | $630.96 | $630.96 | |
Health Alliance Plan
| Facility | $489.78 | $2,041.74 | $4,897.79 | |
United
| Facility | $1,819.70 | $4,365.16 | $7,413.10 |