| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.05 | $4,933.00 | $21,774.58 | |
BCBS
| Facility | $8,079.03 | $9,430.67 | $12,847.16 | |
Health Alliance Plan
| Facility | $4,532.49 | $4,933.00 | $17,695.43 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |