| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,888.39 | $6,414.00 | $20,361.91 | |
BCBS
| Facility | $13,045.45 | $15,227.97 | $20,744.68 | |
Health Alliance Plan
| Facility | $1,512.07 | $6,414.00 | $15,782.83 | |
United
| Facility | $5,000.00 | $10,032.00 | $12,767.00 |