| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.85 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $5,313.97 | $6,237.04 | $8,450.20 | |
Health Alliance Plan
| Facility | $613.28 | $2,877.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |