| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.91 | $704.54 | $4,933.00 | |
BCBS
| Facility | $2,374.11 | $2,767.11 | $3,748.99 | |
Health Alliance Plan
| Facility | $554.12 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,806.00 | $8,884.00 |