| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $581.09 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,871.90 | $3,877.99 | $9,106.93 | |
Health Alliance Plan
| Facility | $466.06 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |