| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.18 | $3,612.40 | $4,933.00 | |
BCBS
| Facility | $2,241.67 | $2,616.71 | $3,564.68 | |
Health Alliance Plan
| Facility | $220.75 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,527.00 | $4,857.00 | $6,327.00 |