| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,512.10 | $4,933.00 | $20,120.03 | |
BCBS
| Facility | $5,507.17 | $6,463.80 | $8,757.42 | |
Health Alliance Plan
| Facility | $1,220.69 | $5,757.00 | $20,120.03 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |