| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,164.38 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $7,893.91 | $9,265.12 | $12,552.78 | |
Health Alliance Plan
| Facility | $1,775.74 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,356.00 | $11,464.00 | $14,085.00 |