| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $938.33 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $3,502.80 | $4,111.25 | $5,570.10 | |
Health Alliance Plan
| Facility | $791.72 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |