| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,304.52 | $4,817.00 | $13,093.29 | |
BCBS
| Facility | $8,319.18 | $11,233.58 | $26,380.58 | |
Health Alliance Plan
| Facility | $1,076.74 | $4,817.00 | $14,596.72 | |
United
| Facility | $4,635.00 | $9,143.00 | $12,767.00 |