| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $871.92 | $6,999.28 | $12,679.78 | |
BCBS
| Facility | $5,907.00 | $6,933.08 | $9,393.21 | |
Health Alliance Plan
| Facility | $871.92 | $5,311.46 | $11,223.67 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |