| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.70 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,019.00 | $2,369.71 | $3,210.59 | |
Health Alliance Plan
| Facility | $350.96 | $2,056.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,685.00 | $20,268.00 |