| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $692.81 | $4,112.00 | $10,424.91 | |
BCBS
| Facility | $5,291.23 | $7,144.87 | $16,778.78 | |
Health Alliance Plan
| Facility | $591.53 | $3,782.00 | $5,777.74 | |
United
| Facility | $2,970.00 | $7,780.00 | $9,202.00 |