| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.47 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,045.60 | $1,227.24 | $1,662.71 | |
Health Alliance Plan
| Facility | $697.16 | $2,877.00 | $4,933.00 | |
United
| Facility | $645.00 | $3,005.00 | $4,504.00 |