| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $681.25 | $2,804.18 | $8,090.51 | |
BCBS
| Facility | $4,066.40 | $4,739.54 | $6,421.32 | |
Health Alliance Plan
| Facility | $681.25 | $3,238.33 | $8,090.51 | |
United
| Facility | $2,243.34 | $5,202.00 | $8,339.00 |