| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.19 | $4,933.00 | $9,101.36 | |
BCBS
| Facility | $4,700.24 | $5,486.60 | $7,474.25 | |
Health Alliance Plan
| Facility | $688.96 | $4,933.00 | $7,248.29 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |