| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,620.04 | $4,933.00 | $9,217.74 | |
BCBS
| Facility | $9,293.43 | $10,831.81 | $14,675.39 | |
Health Alliance Plan
| Facility | $1,226.25 | $4,933.00 | $9,217.74 | |
United
| Facility | $3,986.00 | $7,519.00 | $10,652.00 |