| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $856.31 | $4,933.00 | $10,662.93 | |
BCBS
| Facility | $3,948.88 | $4,634.83 | $6,279.46 | |
Health Alliance Plan
| Facility | $676.45 | $4,933.00 | $10,662.93 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |