| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.40 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $956.10 | $1,413.59 | $1,894.88 | |
Health Alliance Plan
| Facility | $847.72 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |