| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,090.59 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $7,545.72 | $8,856.45 | $11,999.08 | |
Health Alliance Plan
| Facility | $1,722.70 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |