| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.64 | $4,933.00 | $13,972.27 | |
BCBS
| Facility | $2,789.26 | $4,123.93 | $5,693.49 | |
Health Alliance Plan
| Facility | $230.69 | $4,730.33 | $9,804.08 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |