| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.20 | $1,378.50 | $4,933.00 | |
BCBS
| Facility | $3,845.23 | $4,513.17 | $6,114.63 | |
Health Alliance Plan
| Facility | $804.20 | $1,378.50 | $4,933.00 | |
United
| Facility | $2,500.00 | $6,978.00 | $9,202.00 |