| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.99 | $620.00 | $4,933.00 | |
BCBS
| Facility | $1,426.69 | $1,674.51 | $2,268.69 | |
Health Alliance Plan
| Facility | $126.68 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |