| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.22 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,956.09 | $5,849.08 | $8,075.23 | |
Health Alliance Plan
| Facility | $297.16 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |