| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,205.39 | $7,212.35 | $20,598.66 | |
BCBS
| Facility | $12,595.58 | $14,702.84 | $20,029.30 | |
Health Alliance Plan
| Facility | $1,157.17 | $5,757.00 | $18,809.59 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |