| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.49 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,429.07 | $4,002.76 | $5,452.85 | |
Health Alliance Plan
| Facility | $442.05 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |