| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.71 | $151.71 | $151.71 | |
BCBS
| Facility | $1,019.18 | $1,187.89 | $1,609.41 | |
Health Alliance Plan
| Facility | $93.14 | $93.14 | $151.71 | |
United
| Facility | $1,527.00 | $3,569.00 | $6,740.00 |