| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $981.19 | $1,705.82 | $4,933.00 | |
BCBS
| Facility | $3,618.32 | $4,246.85 | $5,753.80 | |
Health Alliance Plan
| Facility | $839.66 | $1,798.43 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |