| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.80 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,112.95 | $4,255.13 | $9,812.68 | |
Health Alliance Plan
| Facility | $360.56 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $8,514.00 | $55,239.00 |