| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $705.30 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,743.56 | $2,046.42 | $2,772.58 | |
Health Alliance Plan
| Facility | $545.86 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |