| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.57 | $3,310.82 | $4,933.00 | |
BCBS
| Facility | $2,646.46 | $3,106.16 | $4,208.35 | |
Health Alliance Plan
| Facility | $573.08 | $3,310.82 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,260.00 | $6,327.00 |