| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $484.13 | $4,933.00 | $10,269.29 | |
BCBS
| Facility | $4,002.50 | $5,917.70 | $8,169.97 | |
Health Alliance Plan
| Facility | $385.61 | $4,933.00 | $10,269.29 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |