| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $527.02 | $4,112.00 | $6,028.53 | |
BCBS
| Facility | $2,413.41 | $2,832.64 | $3,837.78 | |
Health Alliance Plan
| Facility | $432.96 | $4,112.00 | $6,428.02 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |