| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.37 | $465.79 | $1,593.75 | |
BCBS
| Facility | $409.03 | $559.10 | $1,289.33 | |
Health Alliance Plan
| Facility | $243.37 | $432.73 | $831.29 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |