| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.58 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,143.74 | $1,342.42 | $1,818.77 | |
Health Alliance Plan
| Facility | $253.40 | $2,877.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,418.00 | $2,029.00 |