| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $869.89 | $4,933.00 | $13,830.18 | |
BCBS
| Facility | $8,445.58 | $9,912.62 | $13,430.04 | |
Health Alliance Plan
| Facility | $667.53 | $4,112.00 | $13,830.18 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |