| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.21 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $871.10 | $1,015.30 | $1,375.56 | |
Health Alliance Plan
| Facility | $382.95 | $2,877.00 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,594.00 |