| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.90 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $185.37 | $217.21 | $309.45 | |
Health Alliance Plan
| Facility | $279.66 | $2,056.00 | $4,933.00 | |
United
| Facility | $174.86 | $961.00 | $1,844.00 |