| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $786.43 | $1,131.00 | $9,860.26 | |
BCBS
| Facility | $9,698.87 | $11,383.63 | $15,423.01 | |
Health Alliance Plan
| Facility | $786.43 | $1,131.00 | $9,860.26 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |