| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $620.00 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,157.49 | $3,705.97 | $5,021.00 | |
Health Alliance Plan
| Facility | $690.03 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |