| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $868.11 | $2,093.85 | $8,235.98 | |
BCBS
| Facility | $4,666.78 | $6,301.66 | $14,798.62 | |
Health Alliance Plan
| Facility | $674.49 | $3,179.00 | $8,235.98 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |