| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.34 | $2,877.00 | $18,537.24 | |
BCBS
| Facility | $10,685.18 | $12,541.26 | $16,991.41 | |
Health Alliance Plan
| Facility | $676.08 | $2,877.00 | $18,537.24 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |