| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.75 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $514.79 | $722.06 | $1,129.23 | |
Cigna
| Facility | $258.85 | $258.85 | $258.85 | |
Health Alliance Plan
| Facility | $500.00 | $2,056.00 | $4,933.00 | |
United
| Facility | $773.00 | $3,005.00 | $4,504.00 |