| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.64 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $13,552.05 | $15,819.32 | $21,550.27 | |
Health Alliance Plan
| Facility | $536.51 | $4,112.00 | $4,933.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |