| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $938.67 | $4,112.00 | $12,526.14 | |
BCBS
| Facility | $7,519.14 | $8,825.26 | $11,956.83 | |
Health Alliance Plan
| Facility | $751.64 | $4,112.00 | $12,526.14 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |