| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $680.44 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,202.02 | $2,584.52 | $3,501.62 | |
Health Alliance Plan
| Facility | $693.52 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |