| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.66 | $2,877.00 | $6,906.00 | |
BCBS
| Facility | $2,368.30 | $2,764.51 | $3,766.03 | |
Health Alliance Plan
| Facility | $313.02 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,248.00 | $5,202.00 | $7,355.00 |