| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.29 | $129.03 | $2,922.43 | |
BCBS
| Facility | $14.51 | $28.92 | $52.67 | |
Health Alliance Plan
| Facility | $129.03 | $2,329.94 | $2,922.43 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |