| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $785.29 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,282.84 | $4,991.80 | $6,763.10 | |
Health Alliance Plan
| Facility | $669.88 | $4,933.00 | $6,853.00 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |