| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.25 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,190.73 | $1,389.94 | $1,893.48 | |
Health Alliance Plan
| Facility | $98.76 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,796.00 | $4,857.00 | $6,327.00 |