| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $564.50 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,908.84 | $3,414.12 | $4,625.59 | |
Health Alliance Plan
| Facility | $464.10 | $3,112.23 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |