| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.28 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $3,213.20 | $3,750.77 | $5,109.58 | |
Health Alliance Plan
| Facility | $560.67 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |