| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $379.64 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,783.89 | $4,441.18 | $6,017.09 | |
Health Alliance Plan
| Facility | $301.73 | $2,877.00 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |