| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.07 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $694.56 | $1,026.91 | $1,376.55 | |
Health Alliance Plan
| Facility | $198.18 | $4,112.00 | $4,933.00 | |
United
| Facility | $850.00 | $4,645.00 | $6,036.00 |