| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.06 | $2,399.79 | $4,933.00 | |
BCBS
| Facility | $3,832.96 | $5,667.05 | $7,596.52 | |
Health Alliance Plan
| Facility | $411.06 | $3,061.28 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |