| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $669.77 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,783.89 | $4,416.93 | $6,017.09 | |
Health Alliance Plan
| Facility | $542.19 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |