| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $664.06 | $2,308.50 | $6,078.52 | |
BCBS
| Facility | $5,028.89 | $5,902.44 | $7,996.87 | |
Health Alliance Plan
| Facility | $700.50 | $1,158.79 | $6,078.52 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |