| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,412.87 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $5,157.39 | $6,053.26 | $8,201.20 | |
Health Alliance Plan
| Facility | $1,139.95 | $4,933.00 | $5,757.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |