| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $633.11 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,508.13 | $2,927.74 | $3,988.39 | |
Health Alliance Plan
| Facility | $500.73 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |