| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $936.42 | $4,802.04 | $5,702.60 | |
BCBS
| Facility | $6,049.41 | $8,944.07 | $12,348.17 | |
Health Alliance Plan
| Facility | $1,179.88 | $4,817.00 | $5,702.60 | |
United
| Facility | $4,252.97 | $10,141.70 | $14,705.00 |