| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $861.59 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,202.02 | $2,584.52 | $3,501.62 | |
Health Alliance Plan
| Facility | $921.50 | $2,056.00 | $4,933.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |