| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.67 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $429.27 | $500.33 | $677.87 | |
Health Alliance Plan
| Facility | $97.46 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |