| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.29 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $2,446.92 | $2,856.29 | $3,891.06 | |
Health Alliance Plan
| Facility | $543.41 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |