| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.91 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,055.63 | $3,586.41 | $4,859.02 | |
Health Alliance Plan
| Facility | $636.94 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |