| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.91 | $240.31 | $4,933.00 | |
BCBS
| Facility | $319.37 | $372.23 | $504.32 | |
Health Alliance Plan
| Facility | $201.61 | $275.30 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |