| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.99 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,799.54 | $2,446.98 | $5,746.43 | |
Health Alliance Plan
| Facility | $157.13 | $2,056.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |