| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
BCBS
| Facility | $32.64 | $44.84 | $79.47 | |
Health Alliance Plan
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 |