| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.87 | $1,134.45 | $2,878.00 | |
BCBS
| Facility | $894.41 | $1,049.77 | $1,422.28 | |
Health Alliance Plan
| Facility | $81.39 | $1,026.31 | $4,933.00 | |
United
| Facility | $645.00 | $3,005.00 | $4,504.00 |