| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.42 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $4,107.89 | $5,585.87 | $13,117.67 | |
Health Alliance Plan
| Facility | $318.63 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |