| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $2,884.03 | $4,897.79 | |
BCBS
| Facility | $39.81 | $39.81 | $125.89 | |
Health Alliance Plan
| Facility | $194.98 | $851.14 | $4,897.79 | |
United
| Facility | $316.23 | $1,000.00 | $1,862.09 |