| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $928.60 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,960.39 | $3,455.67 | $4,707.58 | |
Health Alliance Plan
| Facility | $739.53 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |