| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $940.08 | $1,230.04 | $4,933.00 | |
BCBS
| Facility | $7,405.38 | $8,691.74 | $11,775.92 | |
Health Alliance Plan
| Facility | $750.19 | $1,230.04 | $6,906.00 | |
United
| Facility | $4,561.00 | $9,143.00 | $12,767.00 |