| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $952.91 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,615.07 | $4,219.88 | $5,748.64 | |
Health Alliance Plan
| Facility | $816.67 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,749.50 | $6,873.00 | $9,202.00 |