| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.12 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $609.63 | $901.33 | $1,244.38 | |
Health Alliance Plan
| Facility | $174.27 | $4,933.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,438.00 | $1,844.00 |