| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.77 | $2,877.00 | $6,175.51 | |
BCBS
| Facility | $3,207.06 | $3,743.60 | $5,099.82 | |
Health Alliance Plan
| Facility | $191.02 | $2,877.00 | $6,175.51 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |