| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,405.48 | $2,466.50 | $13,628.23 | |
BCBS
| Facility | $2,632.67 | $3,068.46 | $4,157.28 | |
Health Alliance Plan
| Facility | $1,181.59 | $2,466.50 | $13,628.23 | |
United
| Facility | $1,450.00 | $5,708.00 | $8,884.00 |