| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,360.16 | $1,713.80 | $4,933.00 | |
BCBS
| Facility | $10,037.09 | $11,716.31 | $15,960.83 | |
Health Alliance Plan
| Facility | $1,098.14 | $1,713.80 | $4,933.00 | |
United
| Facility | $4,069.00 | $7,800.00 | $10,652.00 |