| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $878.72 | $4,933.00 | $11,172.08 | |
BCBS
| Facility | $5,169.50 | $7,643.12 | $10,552.07 | |
Health Alliance Plan
| Facility | $727.51 | $4,933.00 | $8,060.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |