| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.00 | $2,694.24 | $6,676.25 | |
BCBS
| Facility | $825.42 | $1,122.39 | $2,635.79 | |
Health Alliance Plan
| Facility | $183.75 | $2,694.24 | $10,458.33 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |