| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,432.05 | $1,958.00 | $15,370.28 | |
BCBS
| Facility | $9,169.87 | $10,762.74 | $14,581.80 | |
Health Alliance Plan
| Facility | $1,118.68 | $4,112.00 | $15,370.28 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |