| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.30 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,088.09 | $1,608.75 | $2,156.48 | |
Health Alliance Plan
| Facility | $199.94 | $2,056.00 | $4,933.00 | |
United
| Facility | $924.20 | $3,569.00 | $6,036.00 |