| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $775.83 | $4,112.00 | $5,756.00 | |
BCBS
| Facility | $4,749.50 | $5,574.52 | $7,552.59 | |
Health Alliance Plan
| Facility | $558.54 | $4,112.00 | $6,841.24 | |
United
| Facility | $2,500.00 | $6,978.00 | $9,202.00 |