| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $985.92 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,071.96 | $4,753.21 | $6,475.17 | |
Health Alliance Plan
| Facility | $783.17 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |