| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.12 | $4,112.00 | $5,110.38 | |
BCBS
| Facility | $3,401.12 | $3,991.92 | $5,408.41 | |
Health Alliance Plan
| Facility | $643.39 | $2,283.26 | $5,110.38 | |
United
| Facility | $2,500.00 | $6,649.00 | $8,911.00 |