| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $808.90 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $4,088.07 | $4,772.00 | $6,500.78 | |
Health Alliance Plan
| Facility | $804.65 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |