| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.74 | $81.16 | $4,933.00 | |
BCBS
| Facility | $413.46 | $481.91 | $652.91 | |
Health Alliance Plan
| Facility | $76.36 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |