| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $945.94 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $5,050.14 | $5,895.03 | $8,030.65 | |
Health Alliance Plan
| Facility | $780.82 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |