| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $792.05 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,733.56 | $3,186.06 | $4,316.60 | |
Health Alliance Plan
| Facility | $734.08 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,527.00 | $3,640.00 | $6,740.00 |