| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,433.95 | $4,112.00 | $29,023.35 | |
BCBS
| Facility | $12,918.12 | $15,162.08 | $20,542.21 | |
Health Alliance Plan
| Facility | $1,126.91 | $4,112.00 | $6,906.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $9,202.00 |