| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,151.22 | $5,757.00 | $20,994.12 | |
BCBS
| Facility | $8,675.67 | $10,127.12 | $13,795.92 | |
Health Alliance Plan
| Facility | $1,151.22 | $5,757.00 | $20,994.12 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |