| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.70 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,259.33 | $3,825.49 | $5,182.93 | |
Health Alliance Plan
| Facility | $544.86 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |