| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $623.70 | $4,112.00 | $6,224.97 | |
BCBS
| Facility | $2,763.04 | $3,225.30 | $4,393.74 | |
Health Alliance Plan
| Facility | $493.11 | $4,112.00 | $6,224.97 | |
United
| Facility | $2,514.14 | $5,806.00 | $9,128.24 |