| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,910.47 | $4,933.00 | $8,060.00 | |
BCBS
| Facility | $6,792.47 | $7,972.36 | $10,801.28 | |
Health Alliance Plan
| Facility | $1,529.86 | $4,933.00 | $8,060.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |