| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $487.22 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $11,032.18 | $12,858.39 | $17,421.07 | |
Health Alliance Plan
| Facility | $399.78 | $4,933.00 | $4,933.00 | |
United
| Facility | $6,354.00 | $10,192.00 | $14,705.00 |