| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.71 | $2,056.00 | $5,500.62 | |
BCBS
| Facility | $1,664.54 | $2,461.03 | $3,397.70 | |
Health Alliance Plan
| Facility | $85.54 | $2,056.00 | $5,500.62 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |