| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $779.52 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $3,490.25 | $4,074.17 | $5,550.14 | |
Health Alliance Plan
| Facility | $620.30 | $2,056.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |