| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $393.81 | $4,112.00 | $5,507.29 | |
BCBS
| Facility | $5,050.14 | $5,895.03 | $8,030.65 | |
Health Alliance Plan
| Facility | $336.29 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |