| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.66 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,817.95 | $2,118.89 | $2,870.76 | |
Health Alliance Plan
| Facility | $443.92 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,527.00 | $3,640.00 | $6,740.00 |