| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.03 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $315.10 | $465.88 | $624.50 | |
Health Alliance Plan
| Facility | $20.38 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,438.00 | $1,844.00 |