| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $925.82 | $5,508.01 | $12,538.46 | |
BCBS
| Facility | $6,653.37 | $7,766.49 | $10,580.09 | |
Health Alliance Plan
| Facility | $925.82 | $4,933.00 | $12,538.46 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |