| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.26 | $4,112.00 | $7,947.45 | |
BCBS
| Facility | $15,943.39 | $18,712.86 | $25,352.95 | |
Health Alliance Plan
| Facility | $697.50 | $3,468.30 | $6,906.00 | |
United
| Facility | $5,356.00 | $12,544.00 | $31,629.00 |