| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.04 | $4,933.00 | $10,503.68 | |
BCBS
| Facility | $6,004.02 | $8,185.84 | $19,628.12 | |
Health Alliance Plan
| Facility | $669.81 | $4,933.00 | $10,503.68 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |