| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $928.29 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $1,474.43 | $1,990.96 | $4,675.50 | |
Health Alliance Plan
| Facility | $720.03 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,202.00 | $8,339.00 |