| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.54 | $785.56 | $4,933.00 | |
BCBS
| Facility | $1,209.68 | $1,788.51 | $2,397.44 | |
Health Alliance Plan
| Facility | $114.56 | $1,194.80 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |