| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,066.62 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $8,314.49 | $9,758.77 | $13,221.58 | |
Health Alliance Plan
| Facility | $1,703.33 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,356.00 | $11,464.00 | $14,085.00 |