| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $859.77 | $3,986.75 | $8,060.00 | |
BCBS
| Facility | $8,673.34 | $10,124.40 | $13,792.22 | |
Health Alliance Plan
| Facility | $519.79 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |