| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $390.28 | $390.28 | $390.28 | |
BCBS
| Facility | $259.76 | $259.76 | $259.76 | |
BCBS
| Professional | $246.77 | $270.14 | $350.68 | |
Health Alliance Plan
| Facility | $2,056.00 | $2,056.00 | $4,933.00 | |
Health Alliance Plan
| Professional | $237.50 | $273.83 | $390.28 |