| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.70 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,362.79 | $1,853.11 | $4,351.79 | |
Health Alliance Plan
| Facility | $73.81 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,527.00 | $4,857.00 | $6,327.00 |