| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.29 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $18,202.72 | $21,215.91 | $28,744.19 | |
Health Alliance Plan
| Facility | $490.49 | $4,933.00 | $6,853.00 | |
United
| Facility | $7,174.00 | $12,733.00 | $27,028.00 |