| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $415.55 | $4,014.78 | $5,527.64 | |
BCBS
| Facility | $2,904.92 | $3,409.52 | $4,619.35 | |
Health Alliance Plan
| Facility | $323.54 | $4,014.78 | $5,810.48 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |