| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,359.25 | $5,433.53 | $19,241.68 | |
BCBS
| Facility | $7,489.59 | $11,073.37 | $15,287.87 | |
Health Alliance Plan
| Facility | $1,359.25 | $5,433.53 | $15,723.05 | |
United
| Facility | $3,500.00 | $7,935.00 | $10,351.00 |