| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $701.97 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,184.76 | $4,708.67 | $6,500.78 | |
Health Alliance Plan
| Facility | $548.66 | $2,740.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |