| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.81 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,560.82 | $2,307.67 | $3,093.37 | |
Health Alliance Plan
| Facility | $162.71 | $2,744.12 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |