| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $17.78 | $54.95 | $54.95 | |
Health Alliance Plan
| Facility | $131.83 | $776.25 | $4,897.79 | |
United
| Facility | $954.99 | $2,238.72 | $4,466.84 |