| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $928.36 | $4,933.00 | $6,620.78 | |
BCBS
| Facility | $2,650.39 | $3,918.61 | $5,410.02 | |
Health Alliance Plan
| Facility | $745.36 | $4,933.00 | $6,620.78 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |