| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.97 | $2,877.00 | $9,316.59 | |
BCBS
| Facility | $5,418.30 | $6,315.22 | $8,556.12 | |
Health Alliance Plan
| Facility | $1,342.05 | $4,029.00 | $9,316.59 | |
United
| Facility | $4,069.00 | $8,702.00 | $12,726.00 |