| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $959.39 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,820.92 | $4,456.97 | $6,270.63 | |
Health Alliance Plan
| Facility | $889.67 | $4,112.00 | $4,933.00 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |