| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.80 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $663.79 | $779.10 | $1,055.55 | |
Health Alliance Plan
| Facility | $154.24 | $4,112.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |