| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.49 | $4,112.00 | $6,621.64 | |
BCBS
| Facility | $2,494.90 | $2,912.30 | $3,967.35 | |
Health Alliance Plan
| Facility | $497.85 | $4,112.00 | $5,756.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |