| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.32 | $2,740.78 | $4,933.00 | |
BCBS
| Facility | $3,240.87 | $3,803.83 | $5,153.58 | |
Health Alliance Plan
| Facility | $573.11 | $2,740.78 | $5,812.29 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |