| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.45 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $950.34 | $1,405.08 | $1,883.46 | |
Health Alliance Plan
| Facility | $709.54 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |