| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,252.54 | $4,112.00 | $9,905.17 | |
BCBS
| Facility | $7,081.07 | $8,311.10 | $11,260.21 | |
Health Alliance Plan
| Facility | $1,011.73 | $4,112.00 | $9,905.17 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |