| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $467.74 | $831.76 | |
BCBS
| Facility | $269.15 | $269.15 | $269.15 | |
Health Alliance Plan
| Facility | $245.47 | $562.34 | $1,148.15 | |
United
| Facility | $302.00 | $1,148.15 | $1,862.09 |