| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.45 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,055.63 | $3,586.41 | $4,859.02 | |
Health Alliance Plan
| Facility | $724.41 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,054.00 | $6,873.00 | $8,911.00 |