| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.97 | $5,757.00 | $20,598.66 | |
BCBS
| Facility | $8,817.85 | $10,277.51 | $13,924.39 | |
Health Alliance Plan
| Facility | $973.57 | $5,757.00 | $20,598.66 | |
United
| Facility | $4,700.00 | $10,359.00 | $12,767.00 |