| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $802.46 | $2,324.60 | $4,933.00 | |
BCBS
| Facility | $2,908.84 | $3,414.12 | $4,625.59 | |
Health Alliance Plan
| Facility | $657.80 | $2,324.60 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |