| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $30.90 | $30.90 | $97.72 | |
Health Alliance Plan
| Facility | $131.83 | $851.14 | $4,897.79 | |
United
| Facility | $588.84 | $2,630.27 | $5,623.41 |