| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.42 | $669.50 | $4,933.00 | |
BCBS
| Facility | $731.33 | $868.37 | $1,192.68 | |
Health Alliance Plan
| Facility | $170.23 | $669.50 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |