| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $644.73 | $2,877.00 | $11,533.14 | |
BCBS
| Facility | $4,770.68 | $5,568.82 | $7,586.26 | |
Health Alliance Plan
| Facility | $536.49 | $2,877.00 | $4,933.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |