| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.17 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,740.64 | $2,573.53 | $3,449.75 | |
Health Alliance Plan
| Facility | $438.89 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |