| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.44 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $541.95 | $801.27 | $1,074.08 | |
Health Alliance Plan
| Facility | $320.05 | $2,877.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,438.00 | $1,844.00 |