| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.03 | $348.23 | $2,056.00 | |
BCBS
| Facility | $791.88 | $929.44 | $1,259.24 | |
Health Alliance Plan
| Facility | $204.03 | $689.36 | $4,933.00 | |
United
| Facility | $645.00 | $3,005.00 | $4,504.00 |