| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.05 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,141.60 | $1,332.60 | $1,815.37 | |
Health Alliance Plan
| Facility | $1,095.34 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,569.00 | $6,036.00 |