| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $2,041.74 | $4,897.79 | |
BCBS
| Facility | $16.98 | $16.98 | $19.95 | |
Health Alliance Plan
| Facility | $269.15 | $794.33 | $4,897.79 | |
United
| Facility | $436.52 | $1,621.81 | $4,073.80 |