| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.58 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $421.07 | $490.77 | $664.92 | |
Health Alliance Plan
| Facility | $85.94 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,205.00 | $2,029.00 |