| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $821.21 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,934.25 | $5,816.79 | $8,030.65 | |
Health Alliance Plan
| Facility | $672.78 | $4,112.00 | $4,933.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |