| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.76 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $2,960.39 | $3,455.67 | $4,707.58 | |
Health Alliance Plan
| Facility | $367.84 | $2,056.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |