| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.31 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,451.26 | $1,983.74 | $4,574.66 | |
Health Alliance Plan
| Facility | $131.22 | $2,056.00 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,594.00 |