| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $644.60 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,394.84 | $1,637.13 | $2,218.06 | |
Health Alliance Plan
| Facility | $551.90 | $2,877.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |