| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.51 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $563.71 | $833.45 | $1,117.21 | |
Health Alliance Plan
| Facility | $299.57 | $2,056.00 | $4,933.00 | |
United
| Facility | $664.60 | $2,566.36 | $4,504.00 |