| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $783.18 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $2,650.39 | $3,918.61 | $5,252.78 | |
Health Alliance Plan
| Facility | $621.04 | $4,933.00 | $5,757.00 | |
United
| Facility | $788.00 | $6,873.00 | $8,738.00 |