| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.38 | $4,933.00 | $8,321.40 | |
BCBS
| Facility | $3,833.96 | $4,475.39 | $6,096.71 | |
Health Alliance Plan
| Facility | $364.38 | $4,933.00 | $8,321.40 | |
United
| Facility | $2,248.00 | $5,202.00 | $7,355.00 |