| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.23 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $800.13 | $1,088.01 | $2,555.04 | |
Health Alliance Plan
| Facility | $183.45 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,247.00 | $1,844.00 |