| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $908.54 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $3,075.15 | $3,609.33 | $4,890.07 | |
Health Alliance Plan
| Facility | $745.11 | $4,933.00 | $6,853.00 | |
United
| Facility | $1,450.00 | $5,202.00 | $7,355.00 |