| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.06 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,088.09 | $1,608.75 | $2,221.04 | |
Health Alliance Plan
| Facility | $249.08 | $2,056.00 | $4,933.00 | |
United
| Facility | $859.50 | $3,260.00 | $6,029.00 |