| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.43 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $536.95 | $793.89 | $1,064.19 | |
Health Alliance Plan
| Facility | $119.92 | $2,056.00 | $4,933.00 | |
United
| Facility | $177.30 | $1,209.00 | $1,844.00 |