| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $499.75 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,368.30 | $2,764.51 | $3,766.03 | |
Health Alliance Plan
| Facility | $406.01 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |