| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $754.90 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,083.16 | $2,428.00 | $3,289.55 | |
Health Alliance Plan
| Facility | $632.17 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,527.00 | $3,640.00 | $6,740.00 |