| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $498.84 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $3,212.72 | $4,750.01 | $6,557.85 | |
Health Alliance Plan
| Facility | $391.71 | $4,933.00 | $6,853.00 | |
United
| Facility | $788.00 | $6,649.00 | $8,738.00 |