| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.16 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,114.71 | $3,126.61 | $4,191.14 | |
Health Alliance Plan
| Facility | $642.01 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $6,978.00 | $8,911.00 |