| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $972.41 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $3,430.35 | $4,001.39 | $5,629.66 | |
Health Alliance Plan
| Facility | $757.22 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |