| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.21 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,831.22 | $3,299.88 | $4,470.82 | |
Health Alliance Plan
| Facility | $621.05 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |