| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.48 | $4,933.00 | $16,960.04 | |
BCBS
| Facility | $13,173.58 | $15,461.91 | $20,948.43 | |
Health Alliance Plan
| Facility | $756.86 | $4,933.00 | $16,960.04 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |