| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $969.04 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $7,469.19 | $8,705.60 | $11,794.71 | |
Health Alliance Plan
| Facility | $819.30 | $4,112.00 | $4,933.00 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |