| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.87 | $4,112.00 | $5,131.30 | |
BCBS
| Facility | $3,650.31 | $4,929.09 | $11,575.32 | |
Health Alliance Plan
| Facility | $601.85 | $4,112.00 | $5,756.00 | |
United
| Facility | $2,543.19 | $10,032.00 | $12,767.00 |