| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.05 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,440.25 | $2,848.50 | $3,880.45 | |
Health Alliance Plan
| Facility | $439.27 | $2,056.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $9,202.00 |