| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.75 | $4,933.00 | $5,970.07 | |
BCBS
| Facility | $3,414.94 | $3,986.27 | $5,430.39 | |
Health Alliance Plan
| Facility | $758.73 | $4,933.00 | $5,970.07 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |