| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.02 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,068.66 | $2,428.00 | $3,289.55 | |
Health Alliance Plan
| Facility | $401.51 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |