| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,356.25 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $4,772.68 | $5,567.19 | $7,832.63 | |
Health Alliance Plan
| Facility | $1,143.72 | $4,933.00 | $5,757.00 | |
United
| Facility | $5,000.00 | $10,092.00 | $15,216.40 |