| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,816.56 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $13,223.42 | $15,412.36 | $20,881.30 | |
Health Alliance Plan
| Facility | $1,661.28 | $4,933.00 | $6,853.00 | |
United
| Facility | $5,000.00 | $10,402.00 | $12,767.00 |