| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $719.03 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,461.36 | $2,888.92 | $3,914.02 | |
Health Alliance Plan
| Facility | $539.35 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,385.00 | $6,493.00 | $14,744.00 |