| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.71 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $9,984.94 | $11,719.38 | $15,877.90 | |
Health Alliance Plan
| Facility | $629.60 | $781.71 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |