| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,969.98 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $7,888.68 | $9,258.99 | $12,544.46 | |
Health Alliance Plan
| Facility | $1,618.56 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,992.00 | $10,822.00 | $13,752.00 |