| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.76 | $637.73 | $2,878.00 | |
BCBS
| Facility | $564.87 | $822.08 | $1,274.93 | |
Health Alliance Plan
| Facility | $121.77 | $1,626.27 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |