| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.81 | $487.83 | $6,480.98 | |
BCBS
| Facility | $870.84 | $1,287.53 | $1,725.90 | |
Health Alliance Plan
| Facility | $161.84 | $1,958.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |