| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,119.68 | $5,757.00 | $12,835.72 | |
BCBS
| Facility | $13,793.30 | $16,100.93 | $21,933.89 | |
Health Alliance Plan
| Facility | $1,074.89 | $5,757.00 | $12,835.72 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |