| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $885.50 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $8,794.50 | $10,322.16 | $13,984.88 | |
Health Alliance Plan
| Facility | $714.56 | $885.50 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |