| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $670.28 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,303.57 | $2,684.89 | $3,637.60 | |
Health Alliance Plan
| Facility | $539.91 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,708.00 | $8,884.00 |