| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.63 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,241.67 | $2,616.71 | $3,564.68 | |
Health Alliance Plan
| Facility | $167.92 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |