| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.13 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $871.10 | $1,015.30 | $1,375.56 | |
Health Alliance Plan
| Facility | $215.13 | $2,056.00 | $4,933.00 | |
United
| Facility | $773.00 | $2,580.00 | $4,504.00 |