| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $2,187.76 | $4,897.79 | |
BCBS
| Facility | $51.29 | $302.00 | $302.00 | |
Health Alliance Plan
| Facility | $295.12 | $2,187.76 | $6,918.31 | |
United
| Facility | $302.00 | $1,258.93 | $2,041.74 |