| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,013.64 | $4,933.00 | $15,133.18 | |
BCBS
| Facility | $6,642.44 | $7,796.27 | $10,562.71 | |
Health Alliance Plan
| Facility | $770.08 | $4,933.00 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |