| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $964.51 | $3,672.07 | $11,081.60 | |
BCBS
| Facility | $9,451.70 | $11,093.53 | $15,029.96 | |
Health Alliance Plan
| Facility | $757.25 | $2,816.10 | $13,029.38 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |