| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,492.07 | $4,157.97 | $6,951.82 | |
BCBS
| Facility | $10,008.28 | $11,746.78 | $15,915.01 | |
Health Alliance Plan
| Facility | $1,146.98 | $4,112.00 | $6,951.82 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |