| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.76 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $3,645.69 | $5,291.56 | $12,720.86 | |
Health Alliance Plan
| Facility | $905.88 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,449.00 |