| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.04 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $864.46 | $1,278.09 | $1,764.54 | |
Health Alliance Plan
| Facility | $148.32 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |