| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,273.53 | $2,502.67 | $10,375.35 | |
BCBS
| Facility | $5,351.23 | $7,225.88 | $16,969.02 | |
Health Alliance Plan
| Facility | $1,057.41 | $2,502.67 | $10,375.35 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |