| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.88 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,387.61 | $1,647.61 | $2,262.96 | |
Health Alliance Plan
| Facility | $1,134.20 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |