| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,709.77 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $2,413.41 | $2,817.18 | $3,837.78 | |
Health Alliance Plan
| Facility | $1,406.32 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,524.00 | $5,819.00 | $8,339.00 |