| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.43 | $620.00 | $4,933.00 | |
BCBS
| Facility | $1,599.32 | $1,864.06 | $2,525.51 | |
Health Alliance Plan
| Facility | $146.90 | $2,877.00 | $4,933.00 | |
United
| Facility | $645.00 | $2,800.00 | $4,594.00 |