| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,264.14 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $21,714.75 | $25,486.73 | $34,530.47 | |
Health Alliance Plan
| Facility | $1,848.00 | $4,933.00 | $6,853.00 | |
United
| Facility | $5,356.00 | $12,544.00 | $23,945.00 |