| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $407.38 | |
BCBS
| Facility | $575.44 | $933.25 | $2,511.89 | |
Health Alliance Plan
| Facility | $30.20 | $407.38 | $954.99 | |
United
| Facility | $524.81 | $812.83 | $1,318.26 |