| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.38 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,402.13 | $3,971.31 | $5,410.02 | |
Health Alliance Plan
| Facility | $517.72 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,054.00 | $6,873.00 | $8,911.00 |