| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $735.25 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,597.55 | $4,222.47 | $5,720.78 | |
Health Alliance Plan
| Facility | $591.30 | $4,933.00 | $5,757.00 | |
United
| Facility | $2,542.00 | $7,935.00 | $10,652.00 |