| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.25 | $4,933.00 | $7,339.25 | |
BCBS
| Facility | $1,189.27 | $1,388.23 | $1,891.16 | |
Health Alliance Plan
| Facility | $269.11 | $4,933.00 | $6,906.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |