| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $673.81 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,763.04 | $3,225.30 | $4,393.74 | |
Health Alliance Plan
| Facility | $534.38 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |