| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $858.29 | $4,933.00 | $11,925.56 | |
BCBS
| Facility | $6,647.00 | $7,801.63 | $10,569.96 | |
Health Alliance Plan
| Facility | $673.12 | $4,391.05 | $11,925.56 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |