| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,228.53 | $4,112.00 | $5,123.83 | |
BCBS
| Facility | $6,199.62 | $7,276.53 | $9,858.54 | |
Health Alliance Plan
| Facility | $996.19 | $4,112.00 | $5,123.83 | |
United
| Facility | $4,561.00 | $9,143.00 | $12,767.00 |