| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $916.09 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,055.63 | $3,586.41 | $4,859.02 | |
Health Alliance Plan
| Facility | $680.22 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,365.17 | $6,978.00 | $9,202.00 |