| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,622.20 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $6,003.42 | $7,046.24 | $9,546.54 | |
Health Alliance Plan
| Facility | $1,312.04 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,450.00 | $5,806.00 | $8,339.00 |