| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,448.66 | $4,933.00 | $5,757.00 | |
BCBS
| Facility | $6,136.34 | $9,072.60 | $12,525.61 | |
Health Alliance Plan
| Facility | $1,215.08 | $4,933.00 | $5,757.00 | |
United
| Facility | $1,465.66 | $9,143.00 | $12,767.00 |