| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.87 | $603.47 | $4,933.00 | |
BCBS
| Facility | $1,999.17 | $2,330.10 | $3,156.92 | |
Health Alliance Plan
| Facility | $455.67 | $2,056.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,708.00 | $8,884.00 |