| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.87 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $1,865.85 | $2,174.71 | $2,946.39 | |
Health Alliance Plan
| Facility | $707.68 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $4,985.00 | $8,339.00 |