| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $553.58 | $3,179.00 | $4,933.00 | |
BCBS
| Facility | $2,358.98 | $2,768.77 | $3,751.24 | |
Health Alliance Plan
| Facility | $451.07 | $3,536.94 | $5,719.00 | |
United
| Facility | $1,450.00 | $5,574.00 | $8,339.00 |