| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.74 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,219.89 | $1,423.97 | $1,939.84 | |
Health Alliance Plan
| Facility | $147.86 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,527.00 | $4,857.00 | $6,327.00 |