| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $472.25 | $4,112.00 | $6,658.73 | |
BCBS
| Facility | $2,052.57 | $2,395.96 | $3,263.96 | |
Health Alliance Plan
| Facility | $377.76 | $4,112.00 | $6,658.73 | |
United
| Facility | $2,248.00 | $5,202.00 | $7,355.00 |