| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $875.45 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $5,900.90 | $6,925.92 | $9,383.53 | |
Health Alliance Plan
| Facility | $689.61 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,359.00 | $12,767.00 |