| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.51 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $695.83 | $1,028.79 | $1,420.35 | |
Health Alliance Plan
| Facility | $199.36 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,438.00 | $1,844.00 |