| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $802.04 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $5,313.97 | $6,237.04 | $8,450.20 | |
Health Alliance Plan
| Facility | $635.96 | $4,112.00 | $5,756.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |