| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $788.26 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $2,494.90 | $2,912.30 | $3,967.35 | |
Health Alliance Plan
| Facility | $629.53 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |