| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $910.35 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $5,313.97 | $6,237.04 | $8,450.20 | |
Health Alliance Plan
| Facility | $714.27 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |