| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $354.81 | $4,897.79 | |
BCBS
| Facility | $39.81 | $144.54 | $144.54 | |
Health Alliance Plan
| Facility | $194.98 | $645.65 | $4,897.79 | |
United
| Facility | $223.87 | $891.25 | $1,737.80 |