| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,563.44 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $13,173.58 | $15,461.91 | $20,948.43 | |
Health Alliance Plan
| Facility | $1,327.43 | $1,563.44 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |