| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $744.67 | $5,757.00 | $11,448.30 | |
BCBS
| Facility | $3,185.59 | $4,709.89 | $6,313.49 | |
Health Alliance Plan
| Facility | $591.50 | $5,757.00 | $11,448.30 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |