| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.60 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $666.04 | $966.73 | $2,324.01 | |
Health Alliance Plan
| Facility | $143.71 | $2,056.00 | $4,933.00 | |
United
| Facility | $645.00 | $3,005.00 | $4,504.00 |