| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $883.90 | $4,933.00 | $6,902.36 | |
BCBS
| Facility | $8,767.09 | $10,218.35 | $13,844.24 | |
Health Alliance Plan
| Facility | $729.05 | $4,933.00 | $6,906.00 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |