| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,276.40 | $4,933.00 | $4,933.00 | |
BCBS
| Facility | $4,643.29 | $5,449.86 | $7,383.70 | |
Health Alliance Plan
| Facility | $1,024.52 | $1,276.40 | $6,906.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |