| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.40 | $2,240.62 | $6,853.00 | |
BCBS
| Facility | $4,365.51 | $5,123.82 | $6,941.96 | |
Health Alliance Plan
| Facility | $667.20 | $2,240.62 | $6,853.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |