| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.91 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,673.12 | $3,120.34 | $4,250.75 | |
Health Alliance Plan
| Facility | $358.33 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,248.00 | $5,202.00 | $8,339.00 |