| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $814.85 | $2,056.00 | $11,060.15 | |
BCBS
| Facility | $3,490.25 | $4,074.17 | $5,550.14 | |
Health Alliance Plan
| Facility | $651.09 | $2,056.00 | $4,933.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |