| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $808.94 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $5,566.76 | $8,230.46 | $11,362.97 | |
Health Alliance Plan
| Facility | $647.89 | $4,112.00 | $4,933.00 | |
United
| Facility | $896.00 | $7,519.00 | $10,351.00 |