| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.08 | $4,740.09 | $16,941.59 | |
BCBS
| Facility | $4,013.70 | $4,685.20 | $6,382.53 | |
Health Alliance Plan
| Facility | $321.72 | $4,740.09 | $16,941.59 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |