| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $737.19 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,740.64 | $2,573.53 | $3,553.02 | |
Health Alliance Plan
| Facility | $583.41 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,569.00 | $6,036.00 |