| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $790.74 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,912.30 | $4,591.89 | $6,221.28 | |
Health Alliance Plan
| Facility | $645.63 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $15,078.00 |