| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $587.30 | $1,370.00 | $4,933.00 | |
BCBS
| Facility | $1,826.88 | $2,484.16 | $5,833.73 | |
Health Alliance Plan
| Facility | $601.47 | $1,370.00 | $4,933.00 | |
United
| Facility | $1,527.00 | $4,857.00 | $6,327.00 |