| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.84 | $4,933.00 | $11,047.14 | |
BCBS
| Facility | $5,313.97 | $6,237.04 | $8,450.20 | |
Health Alliance Plan
| Facility | $664.16 | $4,933.00 | $11,047.14 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |