| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,161.29 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $11,728.91 | $13,691.18 | $18,651.14 | |
Health Alliance Plan
| Facility | $878.13 | $4,933.00 | $5,757.00 | |
United
| Facility | $6,850.00 | $11,550.00 | $14,085.00 |