| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,462.25 | $4,933.00 | $17,715.36 | |
BCBS
| Facility | $4,779.67 | $5,609.93 | $7,600.57 | |
Health Alliance Plan
| Facility | $2,187.33 | $4,933.00 | $17,715.36 | |
United
| Facility | $3,500.00 | $8,702.00 | $10,652.00 |