| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $411.00 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $1,466.43 | $2,004.48 | $4,622.49 | |
Health Alliance Plan
| Facility | $326.67 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |