| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.72 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $625.85 | $845.09 | $1,984.59 | |
Health Alliance Plan
| Facility | $142.61 | $2,877.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |