| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $460.05 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,819.68 | $5,157.80 | $12,112.42 | |
Health Alliance Plan
| Facility | $350.98 | $4,112.00 | $5,756.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |