| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $509.80 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $5,080.60 | $6,860.44 | $16,110.84 | |
Health Alliance Plan
| Facility | $410.32 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |