| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.18 | $432.02 | $4,933.00 | |
BCBS
| Facility | $740.96 | $1,095.51 | $1,512.47 | |
Health Alliance Plan
| Facility | $124.00 | $432.02 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |