| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $814.80 | $4,137.99 | $4,933.00 | |
BCBS
| Facility | $2,851.90 | $3,347.30 | $4,535.05 | |
Health Alliance Plan
| Facility | $657.45 | $4,137.99 | $4,933.00 | |
United
| Facility | $3,054.00 | $6,873.00 | $8,911.00 |