| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $955.69 | $2,877.00 | $11,554.65 | |
BCBS
| Facility | $14,603.07 | $17,020.39 | $23,059.93 | |
Health Alliance Plan
| Facility | $775.73 | $2,877.00 | $11,554.65 | |
United
| Facility | $4,992.00 | $10,822.00 | $14,085.00 |