| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $509.79 | $3,313.90 | $6,161.66 | |
BCBS
| Facility | $2,899.88 | $3,443.26 | $4,729.22 | |
Health Alliance Plan
| Facility | $509.79 | $3,313.90 | $5,939.41 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |