| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.79 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,153.48 | $2,509.94 | $3,400.59 | |
Health Alliance Plan
| Facility | $164.75 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,317.71 | $5,708.00 | $8,884.00 |