| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.14 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,587.16 | $3,536.42 | $8,155.26 | |
Health Alliance Plan
| Facility | $527.90 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |