| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $607.54 | $4,112.00 | $12,951.19 | |
BCBS
| Facility | $4,916.14 | $7,268.53 | $10,034.92 | |
Health Alliance Plan
| Facility | $515.40 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,819.00 | $7,355.00 |