| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $868.76 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $5,014.97 | $5,854.00 | $7,974.75 | |
Health Alliance Plan
| Facility | $904.29 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,750.00 | $10,359.00 | $12,767.00 |