| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,627.64 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $9,688.40 | $11,371.34 | $15,406.36 | |
Health Alliance Plan
| Facility | $2,093.36 | $4,112.00 | $4,933.00 | |
United
| Facility | $4,635.00 | $10,192.00 | $12,767.00 |