| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.38 | $2,535.46 | $7,844.15 | |
BCBS
| Facility | $163.06 | $315.89 | $610.32 | |
Health Alliance Plan
| Facility | $388.39 | $2,349.11 | $7,844.15 | |
United
| Facility | $464.00 | $1,844.00 | $25,000.00 |