| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.86 | $2,192.35 | $6,991.81 | |
BCBS
| Facility | $4,264.12 | $5,798.30 | $13,616.54 | |
Health Alliance Plan
| Facility | $183.10 | $2,056.00 | $6,991.81 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |