| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.54 | $1,285.08 | $4,933.00 | |
BCBS
| Facility | $1,108.63 | $1,639.11 | $2,262.96 | |
Health Alliance Plan
| Facility | $239.93 | $2,877.00 | $4,933.00 | |
United
| Facility | $558.00 | $3,569.00 | $6,029.00 |