| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.55 | $271.72 | $4,933.00 | |
BCBS
| Facility | $213.06 | $247.28 | $335.03 | |
Health Alliance Plan
| Facility | $241.68 | $2,877.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |