| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.17 | $232.17 | $282.85 | |
BCBS
| Facility | $88.81 | $173.80 | $329.76 | |
Health Alliance Plan
| Facility | $194.29 | $194.29 | $232.17 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |