| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $131.83 | $131.83 | |
BCBS
| Facility | $63.10 | $131.83 | $239.88 | |
Health Alliance Plan
| Facility | $100.00 | $245.47 | $275.42 | |
United
| Facility | $1,698.24 | $3,890.45 | $6,025.60 |