| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,321.51 | $2,346.73 | $6,907.00 | |
BCBS
| Facility | $4,779.67 | $5,609.93 | $7,600.57 | |
Health Alliance Plan
| Facility | $1,729.14 | $2,259.81 | $6,907.00 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |