| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.48 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,589.59 | $3,074.82 | $4,223.18 | |
Health Alliance Plan
| Facility | $738.93 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |