| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.04 | $136.41 | $4,933.00 | |
BCBS
| Facility | $586.10 | $683.12 | $925.52 | |
Health Alliance Plan
| Facility | $127.27 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |