| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,625.91 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $9,293.43 | $10,831.81 | $14,675.39 | |
Health Alliance Plan
| Facility | $1,224.27 | $4,933.00 | $6,853.00 | |
United
| Facility | $4,069.00 | $8,030.00 | $12,726.00 |