| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.48 | $4,917.87 | $11,380.45 | |
BCBS
| Facility | $4,366.83 | $5,097.41 | $6,944.08 | |
Health Alliance Plan
| Facility | $634.48 | $4,458.97 | $8,148.29 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |