| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.66 | $366.66 | $4,933.00 | |
BCBS
| Facility | $6,199.62 | $7,276.53 | $9,858.54 | |
Health Alliance Plan
| Facility | $326.60 | $373.25 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |