| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,438.14 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $5,262.37 | $6,133.47 | $8,309.87 | |
Health Alliance Plan
| Facility | $1,183.46 | $4,112.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,740.00 |