| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.91 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,306.58 | $1,786.00 | $4,118.64 | |
Health Alliance Plan
| Facility | $257.14 | $2,877.00 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,594.00 |