| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,381.84 | $4,933.00 | $14,205.35 | |
BCBS
| Facility | $10,299.79 | $12,014.37 | $16,903.34 | |
Health Alliance Plan
| Facility | $1,219.06 | $4,933.00 | $16,541.93 | |
United
| Facility | $4,069.00 | $8,702.00 | $12,726.00 |