| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.50 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,539.73 | $2,962.52 | $4,168.05 | |
Health Alliance Plan
| Facility | $189.72 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,418.00 | $2,449.00 |