| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,092.93 | $4,933.00 | $9,594.00 | |
BCBS
| Facility | $6,072.38 | $7,127.19 | $9,656.20 | |
Health Alliance Plan
| Facility | $879.96 | $4,933.00 | $9,594.00 | |
United
| Facility | $4,069.00 | $8,702.00 | $10,652.00 |