| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.00 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $828.99 | $1,119.41 | $2,628.78 | |
Health Alliance Plan
| Facility | $199.43 | $2,877.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |