| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.00 | $4,112.00 | $8,557.79 | |
BCBS
| Facility | $2,871.90 | $3,877.99 | $9,106.93 | |
Health Alliance Plan
| Facility | $552.67 | $4,112.00 | $8,557.79 | |
United
| Facility | $2,365.17 | $6,978.00 | $9,202.00 |