| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.90 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $319.27 | $372.13 | $504.18 | |
Health Alliance Plan
| Facility | $63.46 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |