| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $951.77 | $4,112.00 | $9,124.20 | |
BCBS
| Facility | $3,293.36 | $3,838.53 | $5,200.59 | |
Health Alliance Plan
| Facility | $645.07 | $4,112.00 | $9,124.20 | |
United
| Facility | $2,500.00 | $6,649.00 | $9,202.00 |