| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $839.00 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,764.16 | $3,221.72 | $4,364.92 | |
Health Alliance Plan
| Facility | $721.74 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,806.00 | $8,884.00 |