| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $843.15 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $3,272.79 | $4,473.62 | $10,316.52 | |
Health Alliance Plan
| Facility | $681.46 | $3,314.35 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |