| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.49 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $4,019.60 | $5,942.99 | $8,204.87 | |
Health Alliance Plan
| Facility | $199.77 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |