| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.04 | $129.04 | $162.59 | |
BCBS
| Facility | $211.31 | $382.79 | $734.09 | |
Health Alliance Plan
| Facility | $112.25 | $112.25 | $162.59 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |