| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $465.95 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,714.80 | $2,012.67 | $2,726.85 | |
Health Alliance Plan
| Facility | $392.89 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |