| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $445.93 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,576.31 | $3,002.78 | $4,068.29 | |
Health Alliance Plan
| Facility | $376.06 | $2,056.00 | $4,933.00 | |
United
| Facility | $2,467.09 | $6,978.00 | $9,202.00 |