| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $529.87 | $4,112.00 | $7,631.80 | |
BCBS
| Facility | $7,498.47 | $10,125.35 | $23,778.03 | |
Health Alliance Plan
| Facility | $529.87 | $4,112.00 | $8,515.70 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |