| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.92 | $4,112.00 | $8,439.85 | |
BCBS
| Facility | $7,452.71 | $8,747.29 | $11,851.18 | |
Health Alliance Plan
| Facility | $624.17 | $4,112.00 | $8,498.95 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |