| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.41 | $4,933.00 | $7,860.09 | |
BCBS
| Facility | $5,077.20 | $5,926.63 | $8,073.69 | |
Health Alliance Plan
| Facility | $699.00 | $4,933.00 | $7,477.72 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |