| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $885.39 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $3,079.79 | $3,595.04 | $4,897.43 | |
Health Alliance Plan
| Facility | $681.42 | $4,933.00 | $6,853.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |