| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.74 | $3,425.05 | $5,824.35 | |
BCBS
| Facility | $2,245.37 | $3,319.78 | $4,450.07 | |
Health Alliance Plan
| Facility | $203.74 | $3,425.05 | $5,824.35 | |
United
| Facility | $1,050.00 | $4,857.00 | $6,036.00 |