| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.08 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $289.81 | $391.34 | $919.01 | |
Health Alliance Plan
| Facility | $67.06 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |