| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.89 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $857.38 | $1,165.84 | $2,850.94 | |
Cigna
| Facility | $88.74 | $88.74 | $88.74 | |
Health Alliance Plan
| Facility | $194.84 | $2,877.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,438.00 | $2,029.00 |