| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.34 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $1,941.30 | $2,870.22 | $3,962.62 | |
Health Alliance Plan
| Facility | $594.84 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |