| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $953.55 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $3,073.82 | $3,582.65 | $4,853.92 | |
Health Alliance Plan
| Facility | $682.21 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,500.00 | $10,556.00 |