| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.03 | $5,757.00 | $9,101.36 | |
BCBS
| Facility | $4,978.97 | $7,361.42 | $10,163.16 | |
Health Alliance Plan
| Facility | $577.83 | $5,757.00 | $8,625.06 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |