| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $944.56 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,197.13 | $4,899.32 | $6,674.22 | |
Health Alliance Plan
| Facility | $822.76 | $4,933.00 | $6,853.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |