| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.84 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $14,490.97 | $17,008.14 | $23,043.32 | |
Health Alliance Plan
| Facility | $1,109.29 | $1,380.84 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,359.00 | $12,767.00 |