| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $857.88 | $889.65 | $6,906.00 | |
BCBS
| Facility | $3,532.37 | $4,117.10 | $5,578.02 | |
Health Alliance Plan
| Facility | $626.34 | $857.88 | $6,906.00 | |
United
| Facility | $1,450.00 | $5,708.00 | $8,884.00 |