| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.25 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $4,769.39 | $5,597.88 | $7,584.24 | |
Health Alliance Plan
| Facility | $1,081.08 | $4,933.00 | $6,853.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |