| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $818.58 | $4,112.00 | $7,374.37 | |
BCBS
| Facility | $3,442.01 | $4,017.86 | $5,473.43 | |
Health Alliance Plan
| Facility | $651.41 | $4,112.00 | $7,374.37 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |