| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,039.39 | $4,933.00 | $6,334.61 | |
BCBS
| Facility | $5,351.23 | $7,225.88 | $16,969.02 | |
Health Alliance Plan
| Facility | $841.60 | $4,933.00 | $6,334.61 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |