| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.38 | $4,112.00 | $4,953.04 | |
BCBS
| Facility | $3,799.17 | $4,459.10 | $6,041.39 | |
Health Alliance Plan
| Facility | $720.66 | $4,112.00 | $5,756.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |