| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,146.88 | $2,056.00 | $6,906.00 | |
BCBS
| Facility | $12,193.67 | $14,311.79 | $19,390.20 | |
Health Alliance Plan
| Facility | $815.13 | $2,056.00 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |