| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $948.85 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,413.31 | $4,006.22 | $5,427.80 | |
Health Alliance Plan
| Facility | $762.91 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,561.00 | $9,087.00 | $12,767.00 |