| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,379.61 | $5,314.23 | $23,001.37 | |
BCBS
| Facility | $6,172.77 | $7,205.48 | $9,815.84 | |
Health Alliance Plan
| Facility | $1,106.33 | $5,314.23 | $23,001.37 | |
United
| Facility | $4,069.00 | $8,847.00 | $10,652.00 |