| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.95 | $4,112.00 | $22,651.11 | |
BCBS
| Facility | $3,987.21 | $4,734.32 | $6,502.48 | |
Health Alliance Plan
| Facility | $511.22 | $4,112.00 | $5,756.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |