| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.73 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $348.18 | $406.43 | $553.66 | |
Health Alliance Plan
| Facility | $76.38 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |