| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.16 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,828.30 | $2,497.36 | $5,754.70 | |
Health Alliance Plan
| Facility | $369.09 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,433.80 | $3,260.00 | $6,036.00 |