| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.56 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $301.45 | $351.35 | $476.02 | |
Health Alliance Plan
| Facility | $71.13 | $2,877.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |