| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.89 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,286.11 | $1,499.02 | $2,030.93 | |
Health Alliance Plan
| Facility | $289.39 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |