| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.05 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $1,974.50 | $2,301.35 | $3,117.97 | |
Health Alliance Plan
| Facility | $365.21 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,050.00 | $3,569.00 | $6,740.00 |