| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $613.03 | $4,933.00 | $6,862.08 | |
BCBS
| Facility | $3,051.23 | $4,511.25 | $6,228.22 | |
Health Alliance Plan
| Facility | $498.15 | $4,933.00 | $6,862.08 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |