| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $351.37 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,582.19 | $1,857.03 | $2,515.98 | |
Health Alliance Plan
| Facility | $266.12 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |