| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.34 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,204.96 | $3,741.16 | $5,096.49 | |
Health Alliance Plan
| Facility | $404.51 | $2,877.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |