| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.88 | $257.62 | $4,933.00 | |
BCBS
| Facility | $167.12 | $194.79 | $263.91 | |
Health Alliance Plan
| Facility | $153.88 | $257.62 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |