| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,303.32 | $3,782.00 | $4,933.00 | |
BCBS
| Facility | $7,852.49 | $10,603.39 | $24,900.66 | |
Health Alliance Plan
| Facility | $1,076.74 | $1,705.33 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |