| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $433.34 | $3,476.63 | $4,933.00 | |
BCBS
| Facility | $5,281.81 | $6,165.46 | $8,399.06 | |
Health Alliance Plan
| Facility | $3,174.87 | $4,890.78 | $4,933.00 | |
United
| Facility | $4,635.00 | $9,143.00 | $12,767.00 |