| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $795.67 | $4,933.00 | $9,528.90 | |
BCBS
| Facility | $3,947.22 | $5,330.02 | $12,516.83 | |
Health Alliance Plan
| Facility | $770.47 | $4,985.89 | $10,170.96 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |