| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.14 | $4,778.45 | $4,933.00 | |
BCBS
| Facility | $2,582.55 | $3,014.61 | $4,106.72 | |
Health Alliance Plan
| Facility | $826.80 | $4,778.45 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |