| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $628.65 | $5,854.09 | $12,606.65 | |
BCBS
| Facility | $10,974.67 | $12,810.74 | $17,451.75 | |
Health Alliance Plan
| Facility | $792.11 | $4,933.00 | $8,361.00 | |
United
| Facility | $7,133.00 | $11,550.00 | $14,085.00 |