| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.22 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,851.90 | $3,347.30 | $4,535.05 | |
Health Alliance Plan
| Facility | $422.17 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,365.17 | $5,640.02 | $8,884.00 |