| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.27 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,644.29 | $5,421.29 | $7,385.28 | |
Health Alliance Plan
| Facility | $291.43 | $4,933.00 | $6,853.00 | |
United
| Facility | $4,637.00 | $7,849.00 | $9,202.00 |