| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.44 | $254.02 | $4,933.00 | |
BCBS
| Facility | $392.11 | $457.02 | $619.19 | |
Health Alliance Plan
| Facility | $149.74 | $346.37 | $4,933.00 | |
United
| Facility | $267.42 | $1,205.00 | $2,029.00 |