| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.46 | $520.94 | $4,029.00 | |
BCBS
| Facility | $2,429.16 | $2,884.33 | $3,961.56 | |
Health Alliance Plan
| Facility | $218.57 | $1,917.52 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |