| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.95 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $5,962.47 | $8,107.70 | $19,039.86 | |
Health Alliance Plan
| Facility | $231.52 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |