| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $701.82 | $2,877.00 | $13,519.18 | |
BCBS
| Facility | $6,450.74 | $7,571.28 | $10,257.87 | |
Health Alliance Plan
| Facility | $571.76 | $2,877.00 | $13,519.18 | |
United
| Facility | $2,500.00 | $6,978.00 | $9,202.00 |