| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.68 | $1,596.99 | $5,757.00 | |
BCBS
| Facility | $3,266.86 | $3,834.34 | $5,194.92 | |
Health Alliance Plan
| Facility | $727.10 | $1,596.99 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |