| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.19 | $2,877.00 | $6,524.75 | |
BCBS
| Facility | $1,162.86 | $1,357.42 | $1,849.17 | |
Health Alliance Plan
| Facility | $288.77 | $2,681.50 | $6,524.75 | |
United
| Facility | $1,527.00 | $4,857.00 | $6,327.00 |