| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.11 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,108.63 | $1,639.11 | $2,262.96 | |
Health Alliance Plan
| Facility | $181.81 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |