| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $832.77 | $4,725.82 | $5,757.00 | |
BCBS
| Facility | $9,379.54 | $10,932.18 | $14,811.37 | |
Health Alliance Plan
| Facility | $722.16 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,069.00 | $7,935.00 | $10,652.00 |