| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.38 | $355.50 | $4,933.00 | |
BCBS
| Facility | $309.14 | $367.08 | $504.18 | |
Health Alliance Plan
| Facility | $195.38 | $355.51 | $4,933.00 | |
United
| Facility | $300.00 | $1,438.00 | $1,844.00 |