| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,112.76 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $11,649.10 | $13,672.62 | $18,524.23 | |
Health Alliance Plan
| Facility | $893.61 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |