| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.17 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $1,143.74 | $1,335.09 | $1,818.77 | |
Health Alliance Plan
| Facility | $254.89 | $4,112.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |