| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $296.48 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $838.60 | $984.27 | $1,333.54 | |
Health Alliance Plan
| Facility | $208.84 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,685.00 | $20,268.00 |