| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.91 | $4,714.57 | $8,629.61 | |
BCBS
| Facility | $3,003.29 | $3,505.74 | $4,775.79 | |
Health Alliance Plan
| Facility | $511.86 | $4,714.57 | $8,629.61 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |