| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.69 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,097.69 | $3,635.77 | $4,925.89 | |
Health Alliance Plan
| Facility | $706.18 | $831.69 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |