| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.33 | $4,933.00 | $5,584.74 | |
BCBS
| Facility | $4,300.88 | $5,016.83 | $7,058.32 | |
Health Alliance Plan
| Facility | $4,112.00 | $4,933.00 | $5,385.28 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |