| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.96 | $4,933.00 | $6,970.85 | |
BCBS
| Facility | $3,628.51 | $4,308.41 | $5,917.51 | |
Health Alliance Plan
| Facility | $616.96 | $4,933.00 | $7,315.55 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |