| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $793.96 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,848.75 | $3,325.35 | $4,530.05 | |
Health Alliance Plan
| Facility | $646.00 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,527.00 | $4,857.00 | $6,327.00 |