| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $744.90 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,331.40 | $1,562.67 | $2,117.17 | |
Health Alliance Plan
| Facility | $626.71 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,260.00 | $6,327.00 |