| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.54 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $404.88 | $472.28 | $664.46 | |
Health Alliance Plan
| Facility | $208.94 | $2,877.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |