| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $718.17 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,043.66 | $2,398.65 | $3,249.79 | |
Health Alliance Plan
| Facility | $605.27 | $1,346.50 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |