| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.98 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,024.15 | $1,202.05 | $1,628.58 | |
Health Alliance Plan
| Facility | $459.36 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |