| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.65 | $2,877.00 | $9,130.91 | |
BCBS
| Facility | $3,636.91 | $4,245.37 | $5,783.36 | |
Health Alliance Plan
| Facility | $111.70 | $2,877.00 | $9,130.91 | |
United
| Facility | $2,317.71 | $5,708.00 | $8,884.00 |