| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.06 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,773.41 | $2,621.99 | $3,619.92 | |
Health Alliance Plan
| Facility | $378.29 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |