| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,352.93 | $4,112.00 | $15,445.25 | |
BCBS
| Facility | $7,671.16 | $9,003.69 | $12,198.57 | |
Health Alliance Plan
| Facility | $1,091.46 | $4,112.00 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |