| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $610.77 | $4,933.00 | $6,906.00 | |
BCBS
| Facility | $2,303.57 | $2,684.89 | $3,637.60 | |
Health Alliance Plan
| Facility | $493.61 | $610.77 | $6,906.00 | |
United
| Facility | $1,662.54 | $5,202.00 | $8,339.00 |