| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,070.76 | $4,933.00 | $5,298.67 | |
BCBS
| Facility | $4,996.64 | $5,823.77 | $7,890.28 | |
Health Alliance Plan
| Facility | $726.57 | $4,933.00 | $5,298.67 | |
United
| Facility | $5,000.00 | $10,192.00 | $14,705.00 |