| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,855.29 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $21,714.75 | $25,486.73 | $34,530.47 | |
Health Alliance Plan
| Facility | $1,546.65 | $4,933.00 | $6,853.00 | |
United
| Facility | $7,174.00 | $13,405.48 | $33,964.00 |