| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.49 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,603.19 | $4,206.01 | $5,729.73 | |
Health Alliance Plan
| Facility | $362.20 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,750.00 | $5,819.00 | $8,339.00 |