| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.83 | $4,112.00 | $5,756.00 | |
BCBS
| Facility | $2,444.48 | $2,869.12 | $3,887.20 | |
Health Alliance Plan
| Facility | $375.60 | $4,112.00 | $5,792.13 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |