| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.50 | $3,434.89 | $4,933.00 | |
BCBS
| Facility | $1,466.52 | $1,994.16 | $4,674.79 | |
Health Alliance Plan
| Facility | $92.69 | $3,434.89 | $4,933.00 | |
United
| Facility | $1,796.00 | $4,857.00 | $6,327.00 |