| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,613.93 | $4,933.00 | $11,733.07 | |
BCBS
| Facility | $9,754.17 | $11,368.83 | $15,402.96 | |
Health Alliance Plan
| Facility | $1,223.10 | $4,933.00 | $11,733.07 | |
United
| Facility | $3,153.22 | $7,800.00 | $10,652.00 |