| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $695.02 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,439.09 | $2,847.16 | $3,878.61 | |
Health Alliance Plan
| Facility | $573.75 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |