| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.43 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,545.59 | $1,814.07 | $2,457.78 | |
Health Alliance Plan
| Facility | $355.74 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |