| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.33 | $1,990.87 | $6,906.00 | |
BCBS
| Facility | $1,189.36 | $1,412.23 | $1,939.66 | |
Health Alliance Plan
| Facility | $1,171.41 | $1,990.87 | $4,933.00 | |
United
| Facility | $1,382.82 | $3,640.00 | $6,036.00 |