| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.46 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,068.66 | $2,428.00 | $3,289.55 | |
Health Alliance Plan
| Facility | $624.54 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,006.00 | $3,569.00 | $6,036.00 |