| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.50 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $1,649.33 | $1,935.83 | $2,622.75 | |
Health Alliance Plan
| Facility | $411.33 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,574.00 | $8,339.00 |