| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.35 | $4,112.00 | $5,756.00 | |
BCBS
| Facility | $3,880.93 | $4,530.22 | $6,171.40 | |
Health Alliance Plan
| Facility | $311.51 | $4,112.00 | $5,756.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |