| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $879.37 | $2,877.00 | $5,716.39 | |
BCBS
| Facility | $2,471.36 | $3,653.91 | $5,044.58 | |
Health Alliance Plan
| Facility | $698.05 | $2,877.00 | $5,716.39 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |