| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.80 | $4,112.00 | $12,387.71 | |
BCBS
| Facility | $2,061.67 | $2,447.98 | $3,362.26 | |
Health Alliance Plan
| Facility | $442.84 | $4,112.00 | $6,906.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |