| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.11 | $3,848.00 | $5,100.10 | |
BCBS
| Facility | $2,461.63 | $3,324.00 | $7,805.96 | |
Health Alliance Plan
| Facility | $571.11 | $3,079.01 | $5,849.70 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |