| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.81 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,054.70 | $1,229.29 | $1,665.49 | |
Health Alliance Plan
| Facility | $85.30 | $922.06 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,594.00 |