| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $326.39 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $5,050.14 | $5,895.03 | $8,030.65 | |
Health Alliance Plan
| Facility | $286.19 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,252.97 | $8,937.00 | $13,282.37 |