| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $576.55 | $2,056.00 | $5,774.89 | |
BCBS
| Facility | $8,444.49 | $9,911.35 | $13,428.30 | |
Health Alliance Plan
| Facility | $849.87 | $2,056.00 | $5,774.89 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |