| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.16 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,576.31 | $3,002.78 | $4,068.29 | |
Health Alliance Plan
| Facility | $275.13 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |