| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,939.27 | $4,933.00 | $8,060.00 | |
BCBS
| Facility | $12,083.64 | $14,182.64 | $19,215.22 | |
Health Alliance Plan
| Facility | $1,589.59 | $4,933.00 | $6,906.00 | |
United
| Facility | $4,635.00 | $11,152.00 | $20,268.00 |