| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $866.63 | $4,112.00 | $5,756.00 | |
BCBS
| Facility | $7,455.03 | $8,750.01 | $11,854.88 | |
Health Alliance Plan
| Facility | $702.93 | $4,112.00 | $6,906.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |