| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.14 | $2,740.00 | $4,933.00 | |
BCBS
| Facility | $5,244.66 | $6,122.10 | $8,339.99 | |
Health Alliance Plan
| Facility | $209.32 | $2,740.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |