| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.95 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $513.98 | $759.92 | $1,049.14 | |
Health Alliance Plan
| Facility | $174.70 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,438.00 | $1,844.00 |