| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,113.30 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $7,797.91 | $9,152.45 | $12,400.12 | |
Health Alliance Plan
| Facility | $1,727.19 | $4,933.00 | $5,757.00 | |
United
| Facility | $1,303.00 | $7,800.00 | $10,351.00 |