| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $865.06 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $4,152.91 | $4,874.30 | $6,603.90 | |
Health Alliance Plan
| Facility | $658.27 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,385.00 | $6,493.00 | $14,744.00 |