| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.64 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,974.50 | $2,301.35 | $3,117.97 | |
Health Alliance Plan
| Facility | $333.04 | $2,056.00 | $4,933.00 | |
United
| Facility | $300.00 | $1,386.00 | $2,449.00 |