| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.07 | $4,075.43 | $14,439.19 | |
BCBS
| Facility | $5,139.45 | $5,999.29 | $8,172.68 | |
Health Alliance Plan
| Facility | $513.04 | $4,617.00 | $14,439.19 | |
United
| Facility | $2,766.16 | $6,978.00 | $9,202.00 |