| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.05 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $554.15 | $748.28 | $1,757.23 | |
Health Alliance Plan
| Facility | $128.61 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |