| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $502.60 | $502.60 | $502.60 | |
BCBS
| Facility | $562.96 | $754.23 | $1,166.86 | |
BCBS
| Professional | $219.82 | $240.65 | $312.38 | |
Health Alliance Plan
| Facility | $101.36 | $2,056.00 | $4,933.00 | |
Health Alliance Plan
| Professional | $101.36 | $146.52 | $375.00 |