| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $817.91 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,444.48 | $2,869.12 | $3,887.20 | |
Health Alliance Plan
| Facility | $595.50 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |