| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $654.19 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,845.90 | $2,166.54 | $2,935.32 | |
Health Alliance Plan
| Facility | $504.83 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,423.48 | $5,168.33 | $7,355.00 |