| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.53 | $153.51 | $2,500.34 | |
BCBS
| Facility | $488.02 | $689.08 | $1,625.86 | |
Health Alliance Plan
| Facility | $62.53 | $158.46 | $2,500.34 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |