| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.77 | $4,933.00 | $6,922.29 | |
BCBS
| Facility | $4,515.38 | $5,270.80 | $7,180.28 | |
Health Alliance Plan
| Facility | $278.77 | $5,670.73 | $6,922.29 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |