| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.84 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $740.26 | $864.11 | $1,177.16 | |
Health Alliance Plan
| Facility | $165.36 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,428.00 | $2,029.00 |