| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.29 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $739.82 | $868.33 | $1,176.45 | |
Health Alliance Plan
| Facility | $247.66 | $2,056.00 | $4,933.00 | |
United
| Facility | $551.48 | $2,704.00 | $4,504.00 |