| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.59 | $107.73 | $4,933.00 | |
BCBS
| Facility | $948.34 | $1,113.07 | $1,508.03 | |
Health Alliance Plan
| Facility | $82.04 | $107.73 | $4,933.00 | |
United
| Facility | $648.98 | $2,283.00 | $4,504.00 |