| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.58 | $4,112.00 | $5,153.22 | |
BCBS
| Facility | $3,830.48 | $5,725.24 | $8,879.04 | |
Health Alliance Plan
| Facility | $3,799.29 | $4,682.38 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |