| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $770.22 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $5,313.97 | $6,237.04 | $8,450.20 | |
Health Alliance Plan
| Facility | $629.22 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |