| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.39 | $4,933.00 | $8,353.42 | |
BCBS
| Facility | $3,275.02 | $3,822.94 | $5,207.89 | |
Health Alliance Plan
| Facility | $383.38 | $3,844.21 | $8,353.42 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |