| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $958.66 | $2,056.00 | $4,933.00 | |
BCBS
| Facility | $4,414.54 | $5,181.37 | $7,019.93 | |
Health Alliance Plan
| Facility | $625.48 | $2,056.00 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |