| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.22 | $270.22 | $280.62 | |
BCBS
| Facility | $1,010.33 | $1,179.34 | $1,606.60 | |
Health Alliance Plan
| Facility | $240.72 | $240.72 | $270.22 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |