| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,523.93 | $6,853.00 | $17,550.39 | |
BCBS
| Facility | $7,882.50 | $11,654.30 | $15,622.26 | |
Health Alliance Plan
| Facility | $1,240.00 | $6,853.00 | $17,550.39 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,351.00 |