| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $916.05 | $4,933.00 | $7,840.96 | |
BCBS
| Facility | $4,415.17 | $5,153.84 | $7,020.94 | |
Health Alliance Plan
| Facility | $732.40 | $4,933.00 | $7,840.96 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |