| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $661.38 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,367.17 | $2,778.38 | $3,764.26 | |
Health Alliance Plan
| Facility | $525.36 | $4,112.00 | $4,933.00 | |
United
| Facility | $464.00 | $1,303.00 | $1,844.00 |