| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.38 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $2,991.94 | $3,511.65 | $4,757.72 | |
Health Alliance Plan
| Facility | $655.55 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |