| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,921.21 | $5,757.00 | $22,545.38 | |
BCBS
| Facility | $8,020.53 | $9,362.37 | $12,754.12 | |
Health Alliance Plan
| Facility | $1,850.05 | $5,757.00 | $22,545.38 | |
United
| Facility | $4,312.24 | $8,937.00 | $13,467.45 |