| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.21 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,545.65 | $2,310.21 | $3,582.82 | |
Health Alliance Plan
| Facility | $499.33 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,438.00 | $1,844.00 |