| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,990.04 | $4,933.00 | $14,834.97 | |
BCBS
| Facility | $8,113.01 | $11,995.10 | $16,560.41 | |
Health Alliance Plan
| Facility | $1,944.48 | $5,389.00 | $13,883.42 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |