| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.96 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $524.74 | $775.82 | $1,071.09 | |
Health Alliance Plan
| Facility | $150.91 | $4,933.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |