| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.55 | $163.16 | $4,933.00 | |
BCBS
| Facility | $1,285.42 | $1,498.20 | $2,029.83 | |
Health Alliance Plan
| Facility | $151.54 | $2,877.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |