| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,372.50 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,921.47 | $5,776.36 | $7,826.05 | |
Health Alliance Plan
| Facility | $1,169.92 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |