| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $927.36 | $4,991.54 | $9,975.12 | |
BCBS
| Facility | $7,842.86 | $9,154.98 | $12,471.59 | |
Health Alliance Plan
| Facility | $927.36 | $5,483.00 | $10,676.95 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |