| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $367.62 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,345.48 | $1,579.20 | $2,139.56 | |
Health Alliance Plan
| Facility | $309.87 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |