| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.81 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,600.26 | $1,865.16 | $2,527.00 | |
Health Alliance Plan
| Facility | $1,004.73 | $2,056.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |