| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.06 | $239.83 | $4,933.00 | |
BCBS
| Facility | $319.37 | $372.23 | $504.32 | |
Health Alliance Plan
| Facility | $162.81 | $379.90 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |