| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $888.00 | $2,693.00 | $4,933.00 | |
BCBS
| Facility | $3,397.02 | $3,987.10 | $5,401.89 | |
Health Alliance Plan
| Facility | $646.96 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |