| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,250.82 | $8,908.92 | $16,253.40 | |
BCBS
| Facility | $8,070.95 | $9,421.23 | $12,834.30 | |
Health Alliance Plan
| Facility | $1,313.36 | $9,815.16 | $13,811.48 | |
United
| Facility | $4,700.00 | $8,847.00 | $10,652.00 |