| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.81 | $4,933.00 | $14,817.35 | |
BCBS
| Facility | $6,913.96 | $8,114.95 | $10,994.47 | |
Health Alliance Plan
| Facility | $799.96 | $4,933.00 | $8,396.53 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |