| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $626.94 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,384.90 | $2,779.68 | $3,766.03 | |
Health Alliance Plan
| Facility | $498.40 | $2,056.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,574.00 | $8,339.00 |