| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.43 | $620.00 | $4,933.00 | |
BCBS
| Facility | $3,521.59 | $4,104.54 | $5,561.00 | |
Health Alliance Plan
| Facility | $359.77 | $628.66 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,806.00 | $8,884.00 |