| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.12 | $30.12 | $409.84 | |
BCBS
| Facility | $651.15 | $919.59 | $2,539.92 | |
Health Alliance Plan
| Facility | $30.12 | $329.97 | $409.84 | |
United
| Facility | $361.45 | $361.45 | $361.45 |