| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.52 | $3,496.92 | $4,933.00 | |
BCBS
| Facility | $1,853.97 | $2,164.14 | $2,948.15 | |
Health Alliance Plan
| Facility | $98.77 | $3,496.92 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |