| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $850.97 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $4,914.87 | $5,768.61 | $7,815.55 | |
Health Alliance Plan
| Facility | $658.49 | $2,877.00 | $5,117.64 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |