| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.71 | $1,615.00 | $4,933.00 | |
BCBS
| Facility | $937.48 | $1,344.00 | $3,222.66 | |
Health Alliance Plan
| Facility | $56.71 | $1,615.00 | $4,933.00 | |
United
| Facility | $645.00 | $3,005.00 | $4,504.00 |