| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,131.60 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $7,830.46 | $9,190.66 | $12,451.89 | |
Health Alliance Plan
| Facility | $1,782.83 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,356.00 | $11,464.00 | $14,085.00 |