| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $484.07 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $4,107.89 | $4,795.14 | $6,532.31 | |
Health Alliance Plan
| Facility | $413.74 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |