| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $650.10 | $2,056.00 | $7,519.61 | |
BCBS
| Facility | $5,664.19 | $6,648.09 | $9,007.11 | |
Health Alliance Plan
| Facility | $650.10 | $1,752.20 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |