| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $925.94 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $7,234.28 | $8,490.92 | $11,503.84 | |
Health Alliance Plan
| Facility | $737.18 | $4,933.00 | $5,757.00 | |
United
| Facility | $3,986.00 | $7,800.00 | $10,351.00 |