| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,314.74 | $4,933.00 | $24,115.84 | |
BCBS
| Facility | $4,786.03 | $6,542.08 | $15,086.56 | |
Health Alliance Plan
| Facility | $1,191.76 | $4,112.00 | $24,115.84 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |