| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $946.25 | $4,566.71 | $6,067.57 | |
BCBS
| Facility | $9,013.29 | $10,578.97 | $14,332.82 | |
Health Alliance Plan
| Facility | $911.22 | $4,112.00 | $8,311.20 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |