| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $836.10 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,466.58 | $2,874.88 | $3,895.01 | |
Health Alliance Plan
| Facility | $705.39 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,806.00 | $8,884.00 |