| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $810.11 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $7,384.15 | $8,666.82 | $11,742.16 | |
Health Alliance Plan
| Facility | $632.26 | $4,933.00 | $6,853.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |