| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $391.75 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,147.60 | $1,554.99 | $2,407.61 | |
Health Alliance Plan
| Facility | $322.98 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |