| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.79 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,752.45 | $2,056.86 | $2,786.72 | |
Health Alliance Plan
| Facility | $640.45 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,640.00 | $6,327.00 |