| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $921.05 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,055.63 | $3,586.41 | $4,859.02 | |
Health Alliance Plan
| Facility | $738.65 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $6,649.00 | $8,911.00 |