| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.86 | $2,056.00 | $5,555.56 | |
BCBS
| Facility | $1,599.32 | $1,864.06 | $2,525.51 | |
Health Alliance Plan
| Facility | $283.80 | $2,056.00 | $5,555.56 | |
United
| Facility | $1,700.61 | $5,311.15 | $8,339.00 |