| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $614.86 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,974.50 | $2,301.35 | $3,117.97 | |
Health Alliance Plan
| Facility | $445.99 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,708.00 | $8,884.00 |