| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,115.14 | $4,933.00 | $8,361.00 | |
BCBS
| Facility | $5,474.81 | $6,390.75 | $8,705.95 | |
Health Alliance Plan
| Facility | $972.74 | $4,933.00 | $8,361.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |