| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.08 | $2,877.00 | $5,450.67 | |
BCBS
| Facility | $4,077.48 | $4,759.64 | $6,483.95 | |
Health Alliance Plan
| Facility | $274.95 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |