| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618.79 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,005.67 | $3,503.21 | $4,746.30 | |
Health Alliance Plan
| Facility | $531.61 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,780.00 | $10,556.00 |