| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $284.47 | $284.47 | $284.47 | |
BCBS
| Facility | $248.07 | $248.07 | $248.07 | |
BCBS
| Professional | $235.67 | $257.99 | $334.89 | |
Health Alliance Plan
| Facility | $2,056.00 | $2,056.00 | $4,933.00 | |
Health Alliance Plan
| Professional | $199.60 | $199.60 | $549.99 |