| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,188.44 | $4,112.00 | $6,974.65 | |
BCBS
| Facility | $4,780.18 | $7,067.53 | $9,757.42 | |
Health Alliance Plan
| Facility | $959.88 | $4,112.00 | $7,171.89 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |