| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.70 | $4,933.00 | $12,223.06 | |
BCBS
| Facility | $2,413.41 | $2,832.64 | $3,837.78 | |
Health Alliance Plan
| Facility | $1,475.03 | $4,933.00 | $12,223.06 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |