| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $665.81 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $1,664.48 | $1,953.61 | $2,646.84 | |
Health Alliance Plan
| Facility | $530.35 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |