| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.52 | $4,933.00 | $13,717.37 | |
BCBS
| Facility | $4,975.68 | $5,799.34 | $7,857.19 | |
Health Alliance Plan
| Facility | $736.44 | $4,933.00 | $13,717.37 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |