| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.92 | $2,056.00 | $9,093.25 | |
BCBS
| Facility | $864.46 | $1,278.09 | $1,764.54 | |
Health Alliance Plan
| Facility | $481.81 | $2,056.00 | $9,093.25 | |
United
| Facility | $859.50 | $3,260.00 | $6,029.00 |