| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.84 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,627.32 | $1,910.00 | $2,587.75 | |
Health Alliance Plan
| Facility | $314.19 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |