| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.60 | $878.00 | $4,933.00 | |
BCBS
| Facility | $3,883.60 | $4,558.21 | $6,175.65 | |
Health Alliance Plan
| Facility | $545.05 | $757.20 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |