| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,139.57 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $14,667.44 | $17,215.27 | $23,323.95 | |
Health Alliance Plan
| Facility | $1,746.45 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,356.00 | $11,464.00 | $17,095.00 |