| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.37 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,400.30 | $3,990.95 | $5,407.11 | |
Health Alliance Plan
| Facility | $770.65 | $917.37 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |