| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $322.82 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $2,138.48 | $2,496.26 | $3,400.59 | |
Health Alliance Plan
| Facility | $270.66 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |