| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.89 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $1,859.80 | $2,182.86 | $2,957.43 | |
Health Alliance Plan
| Facility | $365.43 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |