| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $886.98 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,320.83 | $3,431.35 | $4,737.32 | |
Health Alliance Plan
| Facility | $718.14 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |