| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.93 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,259.33 | $3,825.49 | $5,182.93 | |
Health Alliance Plan
| Facility | $614.69 | $2,877.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $6,649.00 | $8,911.00 |