| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.51 | $4,933.00 | $9,640.95 | |
BCBS
| Facility | $4,765.07 | $5,562.27 | $7,577.35 | |
Health Alliance Plan
| Facility | $549.51 | $4,933.00 | $9,640.95 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |