| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.93 | $564.87 | $2,056.00 | |
BCBS
| Facility | $943.85 | $1,100.08 | $1,490.44 | |
Health Alliance Plan
| Facility | $204.54 | $420.09 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,594.00 |