| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.22 | $4,933.00 | $10,804.53 | |
BCBS
| Facility | $5,057.55 | $5,936.07 | $8,042.44 | |
Health Alliance Plan
| Facility | $603.63 | $4,698.00 | $10,804.53 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |