| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.66 | $1,204.72 | $4,933.00 | |
BCBS
| Facility | $2,097.10 | $3,100.56 | $4,156.22 | |
Health Alliance Plan
| Facility | $287.81 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |