| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $533.08 | $4,933.00 | $14,522.76 | |
BCBS
| Facility | $6,087.31 | $9,000.10 | $12,064.38 | |
Health Alliance Plan
| Facility | $430.35 | $4,112.00 | $8,266.67 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |